City & Guilds Level 3 Extended Diploma in Dental Nursing

City & Guilds Level 3 Extended Diploma in Dental Nursing

(4238-12)

April 2021 Version 1.3

Qualification Handbook

Meets Skills for Health qualification design criteria

2 City & Guilds Level 3 Extended Diploma in Dental Nursing (4238-12)

Qualification at a glance

Subject area Dental Nursing

City & Guilds number 4238-12

Age group approved 16+

Entry requirements None

Assessment Portfolio of evidence, Synoptic Knowledge Test, Observation of Practice, Interview

Grading Pass/Distinction

Approvals Fast track available. See section 2

Support materials Centre handbook

End Point Assessment Pack for Centres

Registration and certification

Registration is through EPA Pro

Title and level City & Guilds number

Qualification number

GLH TQT


4238-12 603/7099/3

367 586

City & Guilds Level 3 Extended Diploma in Dental Nursing (4238-12)

3

Version and date

Change detail Section

1.0 January 2021

1.1 January 2021

Initial document – draft

‘Draft’ watermark removed

Qualification number added

Grading added

All

All

Qualification at a glance

Section 4 Assessment

1.2 February 2021 Skills for Health logo added.

Skills for Health approval added

Approval – location of EPA application form

Unit 308 Evidence requirements for AC 6.5 amended to include observation or simulation where observation is not possible.

Formatting corrections

Front page

Section 1

Section 2

Section 5

All

1.3 April 2021 Assessment unit (032) added to unit listing table.

Section 1 – Introduction

Unit 301 Supporting information – page title corrected.

Section 5 - Units

Contents

Qualification at a glance 2

Contents 4

1 Introduction 6

Structure 7

Total Qualification Time 8

2 Centre requirements 11

Approval 11

Resource requirements 11

Learner entry requirements 14

Age restrictions 14

3 Delivering the qualification 15

Initial assessment and induction 15

Support materials 15

Recording documents 16

4 Assessment 19

Summary of assessment and grading 19

Assessment strategy 20

5 Units 24

Unit 301 Preparing for professional practice in dental nursing 25

Unit 302 The impact of health and safety legislation on working practices in the

dental setting 32

Unit 303 Prevention and control of infection in the dental setting 38

Unit 304 Dental and regional anatomy, oral health assessments and treatment

planning 47

Unit 305 Recognising and supporting actions during first aid and medical

emergencies 55

Unit 306 The safe use of ionising radiation to produce quality radiographic

images 60

Unit 307 Provide support for the control of periodontal disease and caries, and

the restoration of cavities 65

Unit 308 Provide support during the stages of prosthetic treatments 71

Unit 309 Provide support during the stages of endodontic procedures 78

Unit 310 Provide support during extractions and minor oral surgery 82

Unit 311 Scientific and practical information to support the patient’s oral and

physical health 86

Appendix 1 Learner Induction Checklist 93


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Appendix 2 Sources of general information 95

Appendix 3 Mapping to standards 96


1 Introduction

This document tells you what you need to do to deliver the qualification:

Area Description

Who is the qualification for? This qualification has been designed specifically for dental nurse apprentices in England. The qualification meets the requirements of the Dental Nurse apprenticeship standard ST0113 and Assessment Plan AP03. This qualification includes content and assessments which will meet the needs of the on-programme AND the End Point Assessment requirements within the qualification. This means that apprentices will NOT be awarded the full qualification until both the on-programme AND the End-Point Assessment have been achieved.

What does the qualification cover?

This qualification allows candidates to learn, develop and practise the skills required for employment and/or career progression in Dental Nursing. The content covers and is mapped to the Knowledge, Skills and Behaviours (KSBs) within the ST0113 Dental Nurse apprenticeship standard. The qualification content also meets the requirements of the General Dental Council (GDC) Learning Outcomes and is approved by the GDC.

What opportunities for progression are there?

This qualification allows candidates to make an application to enter the General Dental Council professional register as a Dental Nurse. After being accepted onto the register, the candidate is then recognised as a qualified and competent dental nurse.

On gaining further experience as a dental nurse, the candidate may then progress onto the following City & Guilds qualifications:

6317 Assessment qualifications

6502 Education and Training qualifications

ILM Coaching and Mentoring qualifications

ILM Leadership and Management qualifications

Who did we develop the qualification with?

This qualification was developed with a group of dental nursing experts from a number of different organisations including Employers, FE Colleges, and Private Training Providers.

The qualification has been approved by the General Dental Council as meeting the qualification requirements for applicants to the dental nurse professional register.

This qualification has been approved by Skills for Health.


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Is it part of an

apprenticeship framework

or initiative?

Yes

Dental Nurse ST0113 AP03

Structure

This qualification has been designed specifically for three purposes:

• to provide a structured programme to meet the Knowledge, Skills and

Behaviours (KSBs) of the Dental Nurse apprenticeship standard ST0113

• to reflect the assessment requirements of the Dental Nurse assessment plan

AP03, which requires the End Point Assessment to be part of the qualification

• to provide a qualification which meets the requirements of the GDC Learning

Outcomes for Dental Nurses, so that the GDC approve the City & Guilds Level 3

Extended Diploma in Dental Nursing as meeting the qualification requirement

which supports application to the Dental Nurse professional register.

To achieve the City & Guilds Level 3 Extended Diploma in Dental Nursing, learners must achieve both the on-programme assessments, successfully pass through the apprenticeship Gateway AND achieve the End Point Assessment.

On-programme phase

During the on-programme phase of the qualification, the candidate must provide evidence which meets all of the Evidence Requirements in every unit.

This evidence must be presented in a portfolio which can be paper or digital.

There must be evidence of a minimum of five observations of practice in the workplace, which can be holistic in nature and cover a number of units across the qualification. At least two of these must be carried out by the assessor, the remaining three may be carried out by an Expert Witness.

All of the Knowledge, Skills and Behaviours must be delivered to the candidate. Evidence must be generated for all of the Learning Outcomes and Assessment Criteria prior to Gateway.

Where specific Learning Outcomes and Assessment Criteria are linked to the End Point Assessment Test, candidates must provide evidence in their portfolio which shows that they have met this knowledge. This portfolio may also provide a useful revision resource for candidates as they prepare for their End Point Assessment Test.

Gateway

The gateway requirements for End-Point Assessment (EPA) are:

• Completion of all on-programme learning and assessment for the City & Guilds

Level 3 Extended Diploma in Dental Nursing. This must be evidenced with a

portfolio covering all evidence requirements of the units of the qualification

and must include a minimum of five observations of practice in the workplace.


• An EPA portfolio containing eight selected pieces of evidence which will

underpin the EPA Interview.

• Evidence that the apprentice has met the English and Maths requirements for

the EPA.

For full details of all gateway requirements, please refer to the Centre pack for End

Point Assessment which can be found on the qualifications page on the website.

End Point Assessment

The End Point Assessment of the Dental Nurse apprenticeship is part of the

qualification. The candidate cannot achieve the qualification without being

successful in the End Point Assessment, which consists of the following:

• Knowledge Test

• Observation of Practice followed by Question and Answer

• Interview – underpinned by a portfolio

The portfolio submitted at Gateway, which will underpin the interview, may contain

evidence taken from the on-programme portfolio as long as the evidence meets the

specific requirements detailed in the End Point Assessment pack.

For more details of all of these assessments and the requirements of the portfolio

which underpins the interview, and how to prepare for the end point assessments,

please refer to the End Point Assessment Pack for Centres which can be found on the

qualifications page on the website.

Total Qualification Time

Total Qualification Time (TQT) is the number of notional hours which represents an estimate of the total amount of time that could reasonably be expected for a learner to achieve and demonstrate the achievement of the level of attainment necessary for the award of a qualification.

TQT is comprised of the following two elements:

1) The number of hours that an awarding organisation has assigned to a qualification for Guided Learning, and

2) An estimate of the number of hours a learner will reasonably be likely to spend in preparation, study or any other form of participation in education or training, including assessment, which takes place as directed by - but, unlike Guided Learning, not under the immediate guidance or supervision of - a lecturer, supervisor, tutor or other, appropriate provider of education or training.


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Title and level GLH TQT

City & Guilds Level 3 Extended Diploma in Dental

Nursing

367 586



City & Guilds unit number

Unit title GLH

301 Preparing for professional practice in dental nursing 36

302 The impact of health and safety legislation on working practices in the dental setting

35

303 Prevention and control of infection in the dental setting 44

304 Dental and regional anatomy, oral health assessments and treatment planning

40

305 Recognising and supporting actions during first aid and medical emergencies

28

306 The safe use of ionising radiation to produce quality radiographic images

32

307 Provide support for the control of periodontal disease and caries, and the restoration of cavities

28

308 Provide support during the stages of prosthetic treatments 28

309 Provide support during the stages of endodontic procedures 24

310 Provide support during extractions and minor oral surgery 24

311 Scientific and practical information to support the patient’s oral and physical health

48

Assessment units:

032 Portfolio of evidence

(portfolio meeting all evidence requirements of units 301-311)

Mapping to the National Occupational Standards, the Knowledge, Skills and Behaviours and the General Dental Council Learning Outcomes is provided in Appendix 3.


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2 Centre requirements

Approval

If your Centre is approved to offer the qualification 5234-01 Level 3 City & Guilds Diploma in Dental Nursing you can apply for the 4238-12 approval using the fast track approval form, available from the City & Guilds website. Centres also need to apply for approval for the End Point Assessment aspect of the qualification by completing the EPA application form, which can be found on the City & Guilds Walled Garden.

Centres should use the fast track form if they meet the requirements set out in the fast track form.

Fast track approval is available for 12 months from the launch of the qualification. After 12 months, the Centre will have to go through the standard Qualification Approval Process. The centre is responsible for checking that fast track approval is still current at the time of application.

To offer this qualification, new centres will need to gain both centre, qualification and EPA approval. Please refer to the City & Guilds Centre Manual for further information.

Centre staff should familiarise themselves with the structure, content and assessment requirements of the qualifications before designing a course programme.

Resource requirements

Centre staffing

Staff delivering these qualifications must be able to demonstrate that they meet the following occupational expertise requirements. They should:

be occupationally competent or technically knowledgeable in the area[s] for which they are delivering training and/or have experience of providing training. This knowledge must be to the same level as the training being delivered

hold a qualification recognised by the General Dental Council for registration and demonstrate on-going occupational competence

have recent relevant experience in the specific area they will be assessing and up to date knowledge of the legislation and guidance relating to dental settings

have recent relevant experience in the specific area they will be assessing

have credible experience of providing training.

See also Section 4 Assessment for further details from the assessment strategy.

Centre staff may undertake more than one role, eg tutor and assessor or internal verifier, but cannot internally verify their own assessments.


Assessors and Internal Quality Assurers

Centre staff should hold, or be working towards, the relevant Assessor/Internal Quality Assurer TAQA qualification for their role in delivering, assessing and verifying these qualifications, and/or meet the requirements for assessors and internal quality assurers outlined by the General Dental Council.

Assessors who do not hold the relevant Assessor/TAQA qualification, but have the occupational competence and experience required for delivering the Diploma in Dental Nursing, can be supported by a qualified assessor whilst they work towards an assessor qualification. Assessment decisions made by unqualified assessors must be countersigned by an occupationally competent and qualified assessor who meets the assessor requirements below

Assessor requirements

Assessors should be one of the following:

• a dentist who holds a qualification recognised by the GDC for registration

• a dental nurse who holds a qualification recognised by the GDC for registration and who can demonstrate on-going occupational competence

• a Dental Care Professional (DCP) who is competent in the area of practice and holds a qualification recognised by the GDC for enrolment or statutory registration.

All assessors must be registered dental (care) professionals.

All assessors must have current registration status with the General Dental Council.

This is a mandatory requirement.

Centres must check the qualification and registration status of assessors prior to

employment and ensure that registration is maintained.

Centres must also ensure they have the correct level of professional indemnity cover

for staff, in line with current standards.

Please review the requirements for registration and indemnity cover on the GDC

website for clarification www.gdc-uk.org

Expert Witnesses

The expert witness must have:

• the same vocational expertise as assessors

• a working knowledge of the competences on which their expertise is based

• current expertise and occupational competence ie. within the last two years,

either as a dental nurse, dental practitioner or oral health manager or a

healthcare professional with expertise in decontaminating instruments and

devices in a health setting. This experience should be credible and clearly

demonstrable through continuing learning and development.

http://www.gdc-uk.org/


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The role of the expert witness is to provide testimony to the competence of the learner in meeting the learning outcomes in any given unit. This testimony must directly relate to learner performance in the work place which has been seen by the expert witness. Expert witnesses must be inducted by the centre to familiarise them with the requirements of the qualification and the principles for writing an expert witness testimony.

Centres must obtain and retain records which provide evidence of the Expert Witness’ experience and competence which would deem them suitable to give Expert Witness Testimony. The record must confirm which parts/units of the qualification, for which the Expert Witness is competent to provide testimony and evidence of their competence to do so. Centres must also record the Expert Witnesses GDC registration number, which must be current. It is not necessary for expert witnesses to hold assessor qualifications as a qualified assessor must decide upon the acceptability of all evidence sources, including Expert Witness Testimony.

Expert witness testimony may be used where it is not possible for an assessor to

observe an activity in the workplace. Expert witness testimonies have parity with

assessor observations but must NOT be used as a substitute for the required number of

assessor observations. The minimum number of assessor observations must still be

evidenced.

Recording of Expert Witness Testimony Centres should enable Expert Witnesses to

provide and present their testimony in an efficient way ensuring that this does not

compromise validity and reliability. This could include:

• the use of voice and audio recordings, or

• through remote discussions where the main assessor could scribe the Expert Witness

contributions.

Please note that both paper and online forms are permitted.

Assessor’s role where Expert Witness Testimony is used

Triangulation of Expert Witness Testimony evidence must include the following:

• Learner reflection

• Professional discussion

Work records may also be used an additional source of evidence, the candidate’s

contribution to the work products will need to be confirmed by the workplace

manager, supervisor or Expert Witness. Actual work records must remain in situ in the

workplace and be referred to in the assessor records regarding how they were used

to inform the assessment decision.

Co-ordinating assessors


In order that the requirements for occupational competence of assessors and expert

witnesses can be met while allowing flexibility of delivery, learners may have more

than one assessor or expert witness involved in the assessment process.

Where more than one assessor or expert witness is involved, there must be a named

assessor who is responsible for the overall co-ordination of the assessment for each

learner.

Co-ordinating assessors will be responsible for co-ordinating, planning and directing

assessment for the whole qualification. Co-ordinating assessors must ensure that the

best use is made of all available evidence and will make the final judgement of

competence in each unit where other assessors or expert witnesses have been

involved.

The co-ordinating assessor must be a qualified assessor, who is occupationally

competent, registered with the General Dental Council, occupationally experienced

and experienced in the assessment of work based learning.

It is expected that co-ordinating assessors will work closely with internal quality assurers

to ensure standardised practice and judgements within the assessment process.

Internal Quality Assurance (IQA) Staff

Those staff carrying out internal quality assurance roles must be occupationally

knowledgeable in the area they are assuring and be qualified to make quality

assurance decisions.

Learner entry requirements

City & Guilds does not set entry requirements for these qualifications. However, centres must ensure that candidates have the potential and opportunity to gain the qualifications successfully.

Age restrictions

City & Guilds cannot accept any registrations for candidates under 16 as this qualification is not approved for under 16s.


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3 Delivering the qualification

Initial assessment and induction

An initial assessment of each candidate should be made before the start of their programme to identify:

if the candidate has any specific training needs,

support and guidance they may need when working towards their qualification[s],

any units they have already completed, or credit they have accumulated which is relevant to the qualification[s],

the appropriate type and level of qualification.

We recommend that centres provide an induction programme so the candidate fully understands the requirements of the qualification[s], their responsibilities as a candidate, and the responsibilities of the centre. This information can be recorded on a learning contract. In addition, centres must ensure that the candidate completes a dental nursing specific induction as specified in Appendix 1. This should be completed preferably within the first six weeks of training and the signatures of the apprentice, the employer representative and the centre. Further guidance on the GDC induction requirements can be found on the GDC website www.gdc.org

The requirement to demonstrate professional behaviours whilst maintaining accurate up to date records are skills covered in specific Assessment Criteria in some units. These Assessment Criteria must be evidenced to complete these units. It is expected that contributions to record keeping will naturally occur in most if not all of the unit activities. Assessors/Experts Witnesses may record these activities in assessment records to show consistency of practice.

Support materials

The following resources are available for these qualifications:

Description How to access

Fast track approval form www.cityandguilds.com

End Point Assessment Pack for Centres www.cityandguilds.com

Index of Dental Terminology to support delivery (password available from Walled Garden)

www.cityandguilds.com

http://www.gdc.org/

http://www.cityandguilds.com/




Recording documents

Candidates and centres may decide to use a paper-based or electronic method of recording evidence.

City & Guilds endorses several ePortfolio systems, including our own, Learning Assistant, an easy-to-use and secure online tool to support and evidence learners’ progress towards achieving qualifications. Further details are available at: www.cityandguilds.com/eportfolios.

City & Guilds has developed a set of Recording forms including examples of completed forms, for new and existing centres to use as appropriate. Recording forms are available on the City & Guilds website.

Although new centres are expected to use these forms, centres may devise or customise alternative forms, which must be approved for use by the external verifier, before they are used by candidates and assessors at the centre. Amendable (MS Word) versions of the forms are available on the City & Guilds website.

City & Guilds recommends as best practice learners may need to have experience in

and possibly be assessed in another dental practice in order that they are

experienced in the variety of patient care and needs. It is the centre’s responsibility to

ensure that every effort is made to keep student experience as consistent possible

across all delivery sites. In order to meet the range of patient care needs specified in

the qualification this may mean that a learner in a small practice may need to be

facilitated in gaining experience and assessment in other practices.

The requirements of the General Dental Council for the delivery and quality assurance

of the City & Guilds Level 3 Extended Diploma in Dental Nursing

The General Dental Council (GDC) is responsible for the regulation of the dental

workforce (Dental Care Professionals) throughout the United Kingdom. Part of this role

involves the maintenance of a register of practitioner’s who are deemed

appropriately qualified and competent to carry out the role of a dental care

professional. Dental nurses are required to register with the GDC in order to practice.

One of the requirements to gain entry to the register is that the dental nurse must

possess a recognised qualification, such as the City & Guilds Level 3 Extended

Diploma in Dental Nursing.

City & Guilds has undertaken an approval process with the GDC. The continued

approval of the qualification as an entry qualification for the professional register is

dependent on City & Guilds and its assessment centres proving that they continue to

meet the GDC requirements based on the evidence that was submitted and in any

subsequent inspections.

The approval is based on the GDC document Standards for Education – standards

and requirements for providers, which can be found on the GDC website.

The Standards for Education are based on three areas:

• Standard 1 - Protecting patients

• Standard 2 - Quality evaluation and review of the programme

• Standard 3 - Student assessment


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City & Guilds has provided evidence to support the achievement of these standards

based on our requirements for centre approval and the contents of the qualification

handbook. There are additional requirements relating to GDC approvals, including

those outlined below.

Centres offering the City & Guilds Level 3 Extended Diploma in Dental Nursing will

need to be able to demonstrate they comply with Standard 1 – Protecting patients

at:

• the approval stage (centre and scheme)

• regular external quality assurance monitoring activities

• inspections carried out by the quality assurance team from GDC

Specific requirements to meet Standard 1 – Protecting patients

Centres are required to have a written agreement with the learner’s employers. This

agreement outlines the responsibilities of the employer in the learning and assessment

processes. To meet GDC requirements, this agreement must contain:

• reference to a process/written agreement in which there is a decision stating

the learner has developed sufficient knowledge and skills to work directly with

patients in a safe manner. An exemplar learner induction checklist may be

found in Appendix 1

• a requirement that trainee dental nurses working in the surgery are identified as

such, to ensure that patients are aware and have been advised on what they

need to do if they are concerned in any way about this - to be recorded in

learner induction checklist - see Appendix 1

• a stipulation that learners work under the direct supervision of a registered

dental care professional until they become qualified as a dental nurse.

Raising concerns

Where either the centre or student (learner) have concerns regarding patients’ safety

and treatment, this needs to be raised with the IQA or External Quality Assurer either

verbally or in writing. The IQA or EQA must act upon this knowledge following City &

Guilds quality assurance procedures.

In addition to the written agreement with the learner’s employers, centres must be

able to evidence their commitment to delivering training which will equip the dental

nurse with the core skills required to work safely in a dental setting. Core skills will

include health and safety, infection control and aspects of the role and responsibilities

of the dental nurse (including patient care). The core skills should feature in the first

four months of a learning programme.

Centres must have a ‘Fitness to Practise’ policy based on the GDC document Student

Fitness to Practise which can be located on the GDC website www.gdc-uk.org

Implementation of professionalism and codes of conduct are imperative and underlie

the basic principles of dental nursing. For this reason centres are to ensure that

measures are in place to identify, report and act upon concerns raised relating to a

student’s and staffs behaviour, attitude and conduct whilst in training. Centres are

http://www.gdc-uk.org/


expected to record all concerns and have transparent procedures in place. It is

expected that Fitness to Practice policies will run alongside centre procedures when

raising concerns. All records must be made available at each activity completed by

External Quality Assurers. In event of escalated concerns, centres must contact their

allocated External Quality Assurer for advice and guidance.

Centres must also ensure that students have information provided to help guide and

inform on actions to take if concerns are identified whilst in training.

Student (learner) identification

Centres must ensure that all trainee dental nurses are clearly identifiable to members

of the public and other Dental Care Professionals within the dental workplace. An

appropriate name badge confirming learners’ name and trainee status is to be clear

at all times within the clinical workplace. This is a mandatory requirement and it is a

centres responsibility to ensure adherence at all times. Each centre is to endure that

employers and each clinical workplace are aware of the requirements.


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4 Assessment

Summary of assessment and grading

Pre-Gateway, candidates must:

• collate a portfolio of evidence which meets the evidence requirements detailed in every unit. The portfolio is graded pass/fail.

• provide evidence of at least five observations of practice in the workplace, at least two of which should be based on observation by the assessor. A sixth observation of practice will be carried out by an Independent End-Point Assessor as part of the End-Point Assessment.

Post Gateway, candidates must complete the:

• synoptic knowledge test (distinction/pass/fail)

• interview which is underpinned by a portfolio (distinction/pass/fail)

• observation of practice, followed by a question and answer session (pass/fail)

The overall EPA grading is distinction/pass/fail.

Further details are provided on pages 5-6 of this document and in the End Point Assessment Pack for Centres.


Assessment strategy

The assessment strategy for this qualification is based on the Skills for Health

Assessment Principles, which can be found on the Skills for Health website

https://skillsforhealth.org.uk/info-hub/qualifications-in-england-wales-and-northern-

ireland/

Observation

The primary source of evidence for competency-based learning outcomes within this qualification is observation of practice in the workplace, supported by Expert Witness Testimony where appropriate.

There is a minimum requirement of five observations of practice in the workplace, at least two of which must be carried out by the assessor. The remainder may be carried out by an expert witness.

Please refer to individual unit guidance, as some learning outcomes must be observed by an assessor and expert witness testimony will not be accepted as evidence for these specific outcomes.

Expert Witnesses

Expert witnesses may observe a learner’s practice and provide testimony for

competence- based units which will have parity with assessor observation for all

competence-based units across the qualification. If an assessor is unable to observe

the learner, she/he will identify an expert witness in the workplace, who will provide

testimony of the learners work based performance.

Where Expert Witness Testimony is used, the assessor must use additional sources of

evidence to ensure they are confident to sign off the evidence as proof of candidate

competence.

Other sources of competence evidence:

Some competence criteria may be difficult to evidence by observation because they

may refer to infrequently occurring activities. In the event of this occurring alternative

methods of assessment may be used to support the evidence required the examples

are:

Work Products: These are non-confidential records made, or contributed to, by the learner, eg incident records, maintenance reports. They can be any relevant products of learner’s own work, or to which they have made a significant contribution, which demonstrate use and application within their practice.

Confidential Records: These may be used as evidence but must not be placed in the learner’s portfolio. They must remain in their usual location and be referred to in the assessor records in the learner’s portfolio eg copies of risk assessments the learner has contributed to.

https://skillsforhealth.org.uk/info-hub/qualifications-in-england-wales-and-northern-ireland/

https://skillsforhealth.org.uk/info-hub/qualifications-in-england-wales-and-northern-ireland/


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Questioning: Questions may be oral or written. In each case the question and the learner’s answer will need to be recorded eg what are your workplace procedures for dealing with risks which you are not able to handle yourself? Questions are asked by assessors and answered by learners to supplement evidence generated by observations and any other evidence type used. Assessors may be able to infer some knowledge and understanding from observing a learner’s practice. They may ask questions to confirm understanding and/or cover any outstanding areas.

Professional Discussion: This should be in the form of a structured review of the learner’s practice with the outcomes captured by means of audiotape or a written summary. These are particularly useful to provide evidence that the learner knows and understands principles which support practice; policies, procedures and legislation, and that the learner can critically evaluate their application eg Describe your responsibilities for health and safety in your workplace. It is highly recommended that Professional Discussion is used throughout the qualification as it will support authentication of other evidence and help prepare the apprentice for their end point assessment.

Original Certificates: Certificates of training and records of attendance must be authentic, current and valid. The learner’s assessor will also want to check the content of such training so that this can be matched to the standards and check that the learner has retained and can apply learning to practice eg First Aid at Work. It is advised that copies of certificates be used and centres should authenticate the originals. Certificates can be used as supporting evidence but will not be taken as a replacement for evidence derived by the assessor eg simulation.

Projects / Assignments: These methods are most appropriately used to cover any outstanding areas in the knowledge requirement of the learner’s qualification and occasionally because an event happens rarely or may be difficult to observe. Learners may have already completed a relevant project or assignment which can be mapped to the relevant standards and therefore provide evidence. Evidence from previous training courses and/or learning programmes which they have completed and which demonstrate their professional development may also be used following the agreed Recognition of Prior Learning process.

Reflective Accounts: describe learners’ actions in particular situations and/or to reflect on the reasons for practising in the ways selected. The learner may be able to use a reflective account to provide some of the performance evidence for a unit eg an account of an occasion when you reported on a high risk hazard. Reflective accounts also provide evidence that learners are able to evaluate their knowledge and practice across the activities embedded in this qualification. Learner reflective accounts may also be used to authenticate or build on other forms of evidence, such as Expert Witness Testimony

Case Studies: must be based on real work practice and experiences and will need to be authenticated by an assessor if used as evidence of a competent performance. Theoretical or simulated exercises would only be admissible as evidence of knowledge and understanding. NB Confidential records must not be included in learners’ portfolios but must be referred to in the assessment records.

Witness Testimony: Colleagues, allied professionals and individuals with whom the learner works with may be able to provide testimony of their performance. The learner’s assessor will help to identify the appropriate use of witnesses.


Simulation

Simulation is only allowed for specific learning outcomes within the following units:

• 304 Dental and regional anatomy, oral health assessments and treatment

planning,

• 305 Recognising and supporting actions during first aid and medical

emergencies,

• 308 Provide support during the stages of prosthetic treatments,

• 310 Provide support during extractions and minor oral surgery

• 311 Scientific and practical information to support the patient’s oral and

physical health.

Simulations have been specified for learning outcomes where the learner may be

unable to complete the standards because of the lack of opportunity within their

practice i.e.

• where performance is critical but events occur infrequently and yet a high degree of confidence is needed that the learner would act appropriately - for example (i) where there is a high risk of harm or abuse to the individuals, key people in their lives and others, (ii) where events such as medical emergencies (such as cardiac arrest) occur and competence is vital to ensure best practice and results (iii) completing manual charting.

• where performance is critical, happens frequently but where there is risk of harm to the learner or service user in a real situation, for example, dealing with aggressive or abusive situations (although evidence from direct observation should be used where possible).

Where simulations are used they must replicate working activities in realistic (but not

necessarily actual) workplace environments.

The evidence must at all times reflect the policies and procedures of the workplace as

informed by current legislation, the relevant service standards and codes of practice

for the sector.

Recognition of prior learning (RPL)

Recognition of prior learning means using a person’s previous experience or

qualifications which have already been achieved to contribute to a new

qualification. Centres must also consider whether any RPL would invalidate a

potential candidate from being eligible for an apprenticeship in England. If centres

carry out RPL activity it should be noted that the candidates will still have to meet all

of the assessment criteria and evidence requirements of the Extended Diploma in

Dental Nursing, including the end point assessment.


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Suggested learning resources

This list is not exhaustive and is current as of January 2021. Centres should ensure that

resources used are current at the time of us.

Basic guide to dental instruments

Carmen Scheller-Sheridan

Basic Guide to Oral Health Education & Promotion

Alison Chapman & Simon Felton

New Edition expected in February 2021

Basic Guide to Dental Procedures

Carole Hollins

Radiography and Radiology for Dental Care Professionals

Eric Whaites

Basic Guide to Infection Prevention and Control in Dentistry

Caroline L. Pankhurst & Wilson A. Coulter

Basic Guide to Medical Emergencies in Dental Practice

Phillip Jevon

Basic Guide to Anatomy and Physiology for Dental Care Professionals

Carole Hollins

Scientific Basis of Oral Health Education

Ronnie Levine & Catherine Stillman-Lowe

BDA books

Levison’s Textbook for Dental Nurses

Carole Hollins

Mosby's Textbook of Dental Nursing

by Mary Miller and Crispian Scully

Questions and Answers for Diploma in Dental Nursing, Level 3

Carole Hollins

The unit numbers referred to in the above publication do not correspond with the unit

numbers in this qualification.

https://protect-eu.mimecast.com/s/HJdvCqjg6iLOREjcZ6SQg?domain=amazon.co.uk

https://protect-eu.mimecast.com/s/TrXCCr0jBHwA6klfzfswR?domain=amazon.co.uk


5 Units

Each of the following units is structured as follows:

• Unit level

• GLH

• Unit aim

• Learning outcomes

• Assessment criteria

• Range (where needed)

• Evidence requirements


25

Unit 301 Preparing for professional practice in

dental nursing

Unit level: Level 3

GLH: 36

Unit aim: This unit will introduce the roles and responsibilities of a

dental nurse, and the essential attributes and behaviours

required to work within the legislative framework in this

professional role.

Additionally, it will enable the dental nurse to develop

reflective practice, communication and patient-centred

care, skills that are required throughout their career.

Learning Outcome

The learner will:

1. Be able to reflect on own current professional practice and identify areas for

ongoing improvement using a Personal Development Plan (PDP).

Assessment Criteria

The learner can:

1.1 Assess own current capabilities and limitations using a SWOT/SWOB or similar

type of analysis tool.

1.2 Create a PDP.

1.3 Develop and maintain the PDP throughout the programme of study.

Learning Outcome

The learner will:

2. Understand how a Personal Development Plan (PDP) is used to continuously

improve professional knowledge, skills and behaviours.


Assessment Criteria

The learner can:

2.1 Explain how effective feedback helps to develop reflective practice, putting

patients interests first.

2.2 Explain the benefits of reflecting on own performance.

2.3 Explain the purpose of a PDP.

2.4 Explain how the PDP will be used with appraisals to reflect on performance and

set targets for continuous improvement.

2.5 Explain how the PDP will be used after qualification to identify CPD

opportunities.

Range

(AC2.1) Effective feedback

a) Feedback through appraisal

b) Internal feedback

c) External feedback (eg patient feedback)

Learning Outcome

The learner will:

3. Understand the roles and responsibilities of a dental nurse.

Assessment Criteria

The learner can:

3.1 State the role of governing bodies and regulators.

3.2 Summarise the scope of practice for a dental nurse.

3.3 Summarise how the role of the dental nurse is influenced by each of the

principles in the GDC Standards for the Dental Team.

3.4 Describe how the following factors influence the role of a dental nurse:

a. Safe working practices

b. Treating patients and colleagues with dignity, integrity and respect

c. Acting professionally and ethically

d. Being aware of professional boundaries (eg appropriate use of social

media)

e. Attitudes and behaviours within and outside of the workplace

f. Responsibility for own actions (eg negligence)

g. Chaperoning procedures

h. Duty of candour

i. Fitness to practise

j. Annual retention fee


27

k. Duty of care

l. Professional Indemnity

m. Current Equality legislation

n. Workplace policies

o. Networking and collaborating with other dental professionals

p. Stock maintenance (eg expiry dates, stock rotation).

3.5 Describe Direct Access for dental registrants.

3.6 Describe the roles of other team members in the practice.

3.7 Explain the potential consequences of unprofessional behaviour.

3.8 Describe the process for whistleblowing.

3.9 Explain how patient anxieties over barriers to treatment could be alleviated.

Range

(AC3.1) Governing bodies and regulators

a) General Dental Council (GDC)

b) Care Quality Commission (CQC)

(AC3.5) Dental Registrants

a) Dentists

b) Dental Care Professionals

(AC3.7) Potential consequences

a) Fitness to practise proceedings / sanctioning of the dental registrant

b) Damaged reputation of the practice / dental profession

c) Impacts on the patient(s)

(AC3.9) Barriers to treatment

a) Fear

b) Financial

c) Availability of dental services

d) Access to dental facilities

Learning Outcome

The learner will:

4. Understand the principles and importance of consent, information governance

and safeguarding of patients.

Assessment Criteria

The learner can:

4.1 Explain the purpose of gaining valid consent.


4.2 Explain the requirements that must be considered by the clinician to obtain

valid consent.

4.3 Explain the principles of information governance within the workplace.

4.4 Define the term ‘confidentiality’ in the dental setting.

4.5 Describe the current legal requirements for protecting confidential data

relating to patients and their treatment.

4.6 Describe how patient confidentiality is maintained in the dental setting.

4.7 Define the term ‘safeguarding’ in the dental setting.

4.8 Describe the indicators of a potential safeguarding concern.

4.9 Explain the responsibilities of a dental nurse in safeguarding patients.

Range

(AC4.2) Requirements which must be considered

a) Capacity (Mental Capacity Legislation)

b) Patients with additional needs

c) Gillick consent

d) Montgomery patient-centred approach to consent

e) Treatment planning and costs

(AC4.5) Legal requirements

a) Current Data Protection legislation

b) Current General Data Protection regulations

c) Human rights

(AC4.8) Safeguarding concerns

a) Child Protection

b) Vulnerable Adults

c) Health and wellbeing

d) Prevent Duty and British Values

Learning Outcome

The learner will:

5. Understand the importance of appropriate communication in healthcare at all

times and through all media.

Assessment Criteria

5.1 Explain methods for communicating effectively and sensitively with all patients.

5.2 Explain how effective communication within the dental team contributes to

the delivery of safe high-quality care.


29

5.3 Describe how communication methods can be adapted to overcome barriers

when dealing with patients and colleagues.

5.4 Explain the importance of maintaining contemporaneous, complete and

accurate patient records in accordance with legal requirements and best

practice.

Range

(AC5.1) Methods

a) Verbal

b) Non-verbal

c) Written

d) Electronic

(AC5.3) Barriers

a) Individuals with additional needs

b) Language barriers

c) Physical barriers

d) Emotional barriers

e) External distractions / environmental factors

f) Use of terminology

g) Perception / misunderstanding

Learning Outcome

The learner will:

6. Understand the procedures for the handling of complaints in the workplace.

Assessment Criteria

The learner can:

6.1 Explain how patients’ rights to complain are respected.

6.2 Describe the complaints procedure in their workplace.

6.3 Identify the timeframe for dealing with written patients’ complaints.

6.4 Explain how complaints can be used constructively to drive continuous

improvement.

Learning Outcome

The learner will:

7. Be able to communicate appropriately, effectively and sensitively all times and

through all media.


Assessment Criteria

7.1 Be able to communicate effectively and sensitively with all service users using

a range of communication methods and technologies.

7.2 Communicate using a patient centred approach, being sensitive to patients

needs and values.

Range

(AC7.1) Service users

a) Patients

b) Parents/carers

c) Other members of the dental team (internal/external parties eg laboratories,

company representatives).

(AC7.1) Communication methods

a) Written

b) Verbal

c) Non-verbal

(AC7.2) Patient centred approach

a) Reassure patients

b) Provide support and communicate on behalf of the patient when appropriate

(advocacy)

c) Display professionalism, integrity, equality, dignity and respect for

individual/additional needs


31

Unit 301 Preparing for professional practice in

dental nursing

Supporting Information

Evidence requirements:

Learning Outcome 1 – The learner must complete a PDP to include a reflection

activity for each unit in the qualification.

Learning Outcomes 2, 3, 4, 5, and 6 – Centres may use professional discussion, assessor

devised questions, expert witness testimonies, outcomes of research-based activities,

assignments and reflective accounts.

Learning Outcome 7 – observation of practice in the workplace. This outcome should

be observed on at least three separate occasions. If three direct observations are not

achievable, centres may cross-reference the simulation from unit 311 as the third

observation.


Unit 302 The impact of health and safety

legislation on working practices in the

dental setting

Unit level: Level 3

GLH: 35

Unit aim: This unit introduces learners to the health and safety

legislation relevant to the dental setting. This includes the

understanding of policies and procedures, and the

application of safe working practices in the workplace.

Learning Outcome

The learner will:

1. Understand health and safety theory.

Assessment Criteria

The learner can:

1.1 Explain the purpose of health and safety:

a) legislation

b) policies

c) compliance.

1.2 Define the terms:

a) Hazard

b) Risk

c) Control measure

d) Reasonably practicable

e) Near miss

f) Incident.

1.3 Explain the purpose of risk assessments in practice.

1.4 Explain the roles of governing bodies and regulators in reducing risks to health

and safety in the dental practice.


33

Range

(AC1.4) Governing bodies and regulators

a) National Sector Regulators: Care Quality Commission (England)

b) Health and Safety Executive

c) Office of the Chief Dental Officer

Learning Outcome

The learner will:

2. Contribute to safe working practices in the dental setting.

Assessment Criteria

The learner can:

2.1 Manage hazards by completing a risk assessment document.

2.2 Explain safe manual handling.

2.3 Participate in an activity that demonstrates understanding of manual handling.

2.4 Explain the ergonomics within a dental practice.

2.5 Describe the different types of personal protective equipment (PPE) used in the

dental setting.

2.6 Summarise working practices that could harm self or others and identify safe

working methods that have been put in place to meet current guidelines.

2.7 Describe how a mercury spillage is managed in the dental setting.

2.8 State the importance of using latex-free materials in the dental setting.

2.9 Explain how maintenance and auditing is carried out to ensure safe working

environments.

2.10 Describe the process for reporting hazards to health and safety within the

dental setting, and to whom.

2.11 Reflect on how professional actions and behaviours can reduce risks to health

and safety.

Range

(AC2.2) Manual handling

a) Storage and handling of stock

b) Individuals

c) Manual handling of patients during medical emergencies

(AC2.4) Ergonomics

a) Seating


b) Positioning of patient and team

c) Instrument passing / four-handed dentistry

d) Aspirator tip placement

e) Repetitive strain injuries / Musculoskeletal disorders

(AC2.5) Personal protective equipment (PPE)

a) Employee PPE

b) Patient PPE

(AC2.6) Working practices

a) working with hazardous substances

b) working with and storing mercury

c) working with radiation

d) working with utilities:

i. electricity

ii. gas leaks

iii. flooding

e) fire safety

f) working with pressure vessels

g) infection control:

i. use of barrier techniques including zoning

ii. maintenance of water lines (Biofilm) (Legionella)

iii. National colour-coding system for cleaning of areas

iv. cross contamination between zones

v. working with sharps (handling and disposal)

vi. disposal of waste (eg design of waste containers)

vii. uniform during and outside of clinical hours

(AC2.9) Maintenance and auditing of:

a) Oxygen cylinders

b) Pressure vessels

c) Emergency drug checks

d) Fire drills

e) Legionella testing

(AC2.11) Actions and behaviours

a) Fitness to Practise

b) Awareness of own health and wellbeing (physical and mental health)

c) Personal hygiene

d) Personal presentation

e) Training


35

Learning Outcome

The learner will:

3. Understand organisational and legal requirements for health and safety within

the dental setting.

Assessment Criteria

The learner can:

3.1 Summarise the purpose of different legal requirements for health and safety in

a dental setting.

3.2 Identify the required vaccinations for dental nurses and their importance.

3.3 Explain the consequences if health and safety guidance is not followed.

Range


a) Health & Safety at Work Act

b) Health and Safety (Sharp Instruments in Healthcare) Regulations

c) Control of Substances Hazardous to Health (COSHH)

d) The current Health Technical Memoranda (HTM 07-01) on Management and

Disposal of Healthcare Waste

e) The current Health Technical Memoranda (HTM 01-05) on Decontamination in

Primary Care Dental Practices

f) The current Health Technical Memoranda (HTM 03-01) on Heating and

Ventilation of Health Sector Buildings

g) The current Ionising Radiations Regulations

h) The current Ionising Radiation (Medical Exposures) Regulations

i) Local Rules

j) Portable Appliance Testing (PAT) regulations

k) The current pressure vessel regulations

l) The current regulatory standards for medical devices, equipment and materials

(eg CE/UKCA mark)

m) Public liability insurance

n) Current regulations in reporting of injuries, diseases, dangerous occurrences (eg

RIDDOR)

AC3.3 Consequences to:

a) Self

b) Practice

c) Patients

d) Environment


Learning Outcome

The learner will:

4. Be able to work safely to protect self, team, and patients.

Assessment Criteria

The learner can:

4.1 Carry out work in accordance with organisational and legal requirements and

manufacturer’s instructions.

4.2 Behave in a way that does not endanger the health and safety of self and

others in the dental setting.

4.3 Ensure personal presentation and PPE protects the health and safety of self and

others within the dental setting.

4.4 Dispose of waste in a safe manner according to legal and regulatory

requirements.

Range

(AC4.1) Organisational and legal requirements

a) Health & Safety at Work Act (including use of Personal Protective Equipment)

b) Control of Substances Hazardous to Health (COSHH)

c) Environmental Protection Act and the current Health Technical Memoranda

(HTM 07-01) on Management and Disposal of Healthcare Waste

d) Ionising Radiations Regulations, Ionising Radiation (Medical Exposures)

Regulations and Local Rules

e) Health and Safety (Sharp Instruments in Healthcare) Regulations

f) The current Health Technical Memoranda (HTM 01-05) on Decontamination in

Primary Care Dental Practices

(AC4.3) Personal presentation

a) appropriate presentation

b) use and reuse / disposal of personal protective equipment for patients and

staff

c) donning and doffing procedures, in line with current guidelines

d) use of clothing and accessories that are suitable to the workplace

(AC4.4) Waste

a) Non-hazardous

b) Hazardous

Legal and regulatory requirements: The current Health Technical Memoranda

(HTM 07-01) on Management and Disposal of Healthcare Waste


37

Unit 302 The impact of health and safety

legislation on working practices in the

dental setting


Evidence requirements: Learning Outcomes 1, 2 and 3 – Centres may use professional discussion, assessor


assignments, work products and reflective accounts.

Learning Outcome 4 – minimum of three observations, evidence to be gathered

holistically on separate occasions (simulation is not allowed).

A minimum of two must be carried out by the assessor. The remainder may be carried

out by an Expert Witness.


Unit 303 Prevention and control of infection in the

dental setting

Unit level: Level 3

GLH: 44

Unit aim: The aim of this unit is for learners to develop an

understanding of the principles of infection control within

a dental setting.

The unit considers infectious diseases, signs and

symptoms, and their routes of transmission. The

importance of appropriate levels of decontamination

and ways to achieve this in the dental setting.

Learners will develop the practical skills to create and

maintain a hygienic and safe clinical environment.

Learning Outcome

The learner will:

1. Understand the significance of micro-organisms.

Assessment Criteria

The learner can:

1.1 Describe the structure of micro-organisms and prions.

1.2 Explain the terms pathogen and non-pathogen.

1.3 Describe factors that impact the host’s susceptibility to infection.

1.4 Summarise the body’s reaction to inflammation / infection.

1.5 Summarise how infectious conditions affect the body.

1.6 Describe the principles of the ‘chain of infection’.

1.7 Explain the importance of immunisation for dental personnel.


39

Range

(AC1.1) Micro-organisms

a) Bacteria

b) Viruses

c) Fungi

(AC1.3) Factors that impact the host’s susceptibility to infection

a) Pregnancy

b) Immunocompromised

c) Age

d) Medical treatment / illnesses

(AC1.4) Body’s reaction

a) Signs and symptoms

b) Immune system

c) Pus production

(AC1.4) Inflammation / infection

d) Local

e) Systemic

f) Acute

g) Chronic

(AC1.5) Infectious diseases/conditions

a) Hepatitis B and C

b) Human Immuno-deficiency Virus (HIV)

c) Herpes Simplex

d) Corona viruses (eg Covid-19)

e) Mumps

f) Human Papilloma Virus (HPV)

g) Impetigo

h) Tuberculosis (TB)

i) Meningitis

j) Influenza

k) Infectious mononucleosis / Glandular fever (‘kissing disease’)

l) Creutzfeldt-Jakob Disease (CJD)

m) Candida albicans

Learning Outcome

The learner will:

2. Understand the management and processes of infection control.


Assessment Criteria

The learner can:

2.1 Explain the routes of transmission of infectious diseases in the dental setting.

2.2 Explain the principles of standard (universal) infection control precautions.

2.3 Identify the actions to take to prevent cross-contamination of infectious

diseases.

2.4 Explain how correct levels of hand hygiene can be achieved.

2.5 Describe factors that influence hand hygiene.

2.6 Explain how blood and body fluid spillages are managed.

2.7 Describe the relevance of the following documents for quality management of

infection control in a dental setting

a. The current Health Technical Memoranda (HTM 01-05) on

Decontamination in primary care dental practices

b. The current Health Technical Memoranda (HTM 07-01) on Management

and disposal of healthcare waste

c. Practice policies and audit records

d. Staff induction policy.

Range

(AC2.1) Routes of transmission

a) Routes of entry into the body by direct contact

b) Routes of entry into the body by indirect contact

c) Aerosol Generating Procedures (AGP) / splatter / airborne transmission

(AC2.4) Hand hygiene

a) Social

b) Clinical

c) Aseptic

(AC2.5) Factors

a) Hand washing products

b) Hand cleansing products

c) Nail hygiene

d) Hand care (drying, moisturising, wound management, dermatitis/allergies)

e) Dispenser requirements

f) Facilities and instructions

g) Jewellery


41

Learning Outcome

The learner will:

3. Know the various methods of decontamination and sterilisation.

Assessment Criteria

The learner can:

3.1 Define disinfection and when it is appropriate to use disinfectants.

3.2 Define the terms asepsis and sterilisation.

3.3 Explain the reason for pre-cleaning and dismantling instruments and

equipment prior to sterilisation.

3.4 Explain the procedures, layout and equipment used to decontaminate

instruments and handpieces in line with legal requirements and organisational

procedures.

3.5 Explain how an autoclave should be loaded to achieve sterilisation.

3.6 Describe how sterilisation is achieved.

3.7 Explain the potential risks of failing to decontaminate equipment and

instruments effectively.

Range

(AC3.4) Procedures

a) Transportation methods to and from the decontamination room

b) Handwashing

c) PPE

d) Manual scrubbing

e) Ultrasonic bath

f) Washer disinfector

g) Inspection using magnification / inspection light

h) Autoclave cycle and parameters

i) Principles of zoning

j) Storage and timescales for clinical and non-clinical environments

k) Air flow in the decontamination room

(AC3.6) Sterilisation

a) N-type autoclave (non-vacuum)

b) B-type autoclave (vacuum)

c) Industrial (gamma radiation)


Learning Outcome

The learner will:

4. Understand the maintenance and validation required on dental instrument re-

processing equipment in line with manufactures guidelines, organisational and

legal requirements.

Assessment Criteria

The learner can:

4.1 Describe how equipment is successfully validated.

4.2 Explain the actions to be taken if validation is unsuccessful.

4.3 Describe how equipment is checked and routinely maintained.

4.4 Explain the importance of documenting validation and maintenance of

equipment.

Range

(AC4.1, 4.3) Equipment

a) Ultrasonic bath

b) Washer disinfector

c) N-type autoclave (non-vacuum)

d) B-type autoclave (vacuum)

Learning Outcome

The learner will:

5. Be able to apply standard precautions of infection control for clinical

procedures.

Assessment Criteria

The learner can:

5.1 Present themselves in the dental setting with the required standard of personal

hygiene.

5.2 Select and don the appropriate PPE for the clinical procedure.

5.3 Apply the correct management of infection control procedures throughout the

dental setting.

5.4 Provide the correct patient PPE.

5.5 Follow current guidelines to reduce risks of exposure when doffing PPE.

5.6 Deal with waste produced from clinical areas appropriately.


43

Range

(AC5.1) Required standard of personal hygiene

a) Hair

b) Nails

c) Jewellery

d) Uniform

e) Footwear

f) Overall presentation

(AC5.2) PPE

a) Clinical gloves

b) Apron/gown

c) Goggles/visor

d) Face mask

e) Heavy-duty gloves

(AC5.3) Infection control procedures

a) Handwashing and hand hygiene procedures

b) Maintain zoning

c) Use of single-use barriers

d) Maintain a clean and tidy working environment for clinical dental procedures

e) Select appropriate cleaning products and disinfectants

f) Use re-processing equipment

(AC5.3) Dental setting

a) Surgery

b) Decontamination room / designated decontamination area

(AC5.4) Patient PPE

a) Protective glasses

b) Bib

(AC5.5) Doffing PPE

a) Disinfect

b) Storage

c) Disposal

(AC5.6) Waste

a) Clinical

b) Non-clinical

c) Sharps


Learning Outcome

The learner will:

6. Be able to carry out correct protocols for maintenance and validation of

dental equipment, in line with manufacturers’ guidelines, organisational and

legal requirements.

Assessment Criteria

The learner can:

6.1 Follow appropriate cleaning and disinfecting protocols prior to and on

completion of work activities in the dental setting.

6.2 Use disinfectants in a safe manner in line with current legislation.

6.3 Ensure that equipment is validated, maintained and functioning in line with

practice policies and legal requirements.

6.4 Complete a cleaning schedule and use a surgery checklist, to demonstrate

that the surgery has been prepared in line with organisational policy.

Range

(AC6.1) Dental setting

a) Surgery

b) Decontamination room / designated decontamination area

(AC6.2) Legislation

a) Current Health & Safety at Work legislation

b) Control of Substances Hazardous to Health regulations

(AC6.3) Equipment

a) Dental chair

b) Operating light

c) Aspirator

d) Dental unit water lines (DUWLs)

e) Spittoon

f) Instrument cleaning equipment found in the decontamination room


45

Learning Outcome

The learner will:

7. Be able to safely carry out correct decontamination and sterilisation processes

for dental instruments.

Assessment Criteria

The learner can:

7.1 Safely transport instruments into the decontamination area.

7.2 Prepare instruments and handpieces for sterilisation.

7.3 Demonstrate the application of correct decontamination workflow and stages

in line with organisational and legal requirements.

7.4 Load instruments safely and correctly into the autoclave.

7.5 Select the correct autoclave cycle to achieve sterilisation.

7.6 Complete a validation test on the autoclave in line with organisational and

legal requirements and document the evidence.

7.7 Store re-processed dental instruments in accordance with organisational and

legal requirements.

Range

(AC7.3) Stages

a) Cleaning and disinfection process

b) Inspection

(AC7.3, 7.6, 7.7) Organisational and Legal requirements

a) Practice policies and procedures

b) The current Health Technical Memoranda (HTM 01-05) on Decontamination in

primary care dental practices


Unit 303 Prevention and control of infection in the

dental setting



Learning Outcomes 1, 2, 3 and 4 - Centres may use professional discussion, assessor



Learning Outcomes 5, 6 and 7 – Evidence to be gathered holistically on separate

occasions (simulation is not allowed). This must include:

• One surgery activity

• One decontamination process

Evidence should focus on current legislation, guidance and good practice.

Learning Outcome 7 - Centres that cannot meet 7.4, 7.5 and 7.6 due to reliance on

off-site/external facilities for instrument decontamination should discuss the following

alternatives with their EQA prior to assessment taking place:

1. Secure experience for the learner in an alternative work setting where skills in

the use of decontamination equipment (autoclave) can be developed and

assessment of competence can take place.

2. Carry out a simulated activity, observed by the assessor in a learning

environment which has the required equipment.

3. Set a project for the learner, which is based on current Health Technical

Memorandum 01-05 and follow this with a professional discussion

4. Carry out a professional discussion regarding previous relevant experience of

using decontamination equipment (autoclave)


47

Unit 304 Dental and regional anatomy, oral health

assessments and treatment planning

Unit level: Level 3

GLH: 40

Unit aim: This unit introduces learners to dental and regional

anatomy. The unit then focuses on preparing the dental

environment and supporting the operator during an oral

health assessment.

Learners will develop understanding of how medical

conditions inform treatment planning, and the ability to

complete dental charts and maintain

contemporaneous records.

Learning Outcome

The learner will:

1. Understand dental and regional anatomy.

Assessment Criteria

The learner can:

1.1 Describe the following features of permanent teeth:

a) Tooth morphology

i. Incisor

ii. Canine

iii. Premolar

iv. Molar

b) Usual number of roots

c) Tooth structure and surrounding tissues

i. Enamel

ii. Amelodentinal junction

iii. Primary dentine

iv. Secondary dentine

v. Odontoblasts

vi. Pulp


vii. Pulp chamber

viii. Pulp / root canal

ix. Apical foramen

x. Cementum

xi. Periodontal ligament

xii. Gingival crevice / gingival sulcus

xiii. Furcation

d) Surfaces of anterior and posterior teeth

1.2 Compare the morphology of permanent and deciduous teeth.

1.3 Describe head and neck anatomy.

1.4 Describe the anatomy of the temporomandibular joint.

1.5 Explain temporomandibular joint movement and dysfunction.

1.6 Identify the position and function of the Maxillary and Mandibular divisions of

the Trigeminal nerve.

1.7 Identify the position and function of salivary glands:

a) Parotid

b) Submandibular

c) Sublingual

1.8 Describe the composition and function of saliva.

1.9 Describe the effects of the following on the salivary glands:

a) Ageing

b) Mumps

c) Mucocoele

d) Salivary stone

1.10 Identify the position and function of the following muscles:

a) Masseter

b) Temporalis

c) Buccinator

d) Orbicularis oris

Range

(AC1.3) Head and neck anatomy

a) Skull

i. Temporal bone

ii. Zygomatic arch

b) Maxilla

i. Palate

a) Hard palate

b) Soft palate

c) Rugae

d) Tuberosity

e) Cleft palate


49

ii. Maxillary air sinus

iii. Oropharynx

c) Mandible

i. Coronoid process

ii. Ramus

iii. Body

d) Tongue

e) Lamina dura / compact bone

f) Spongy / cancellous bone

g) Alveolar process

h) Oral mucosa

i) Philtrum

j) Fraenum

(AC1.5) Dysfunction

a) Trismus

b) Clicking

c) Crepitus

(AC1.6) Maxillary:

a) anterior

b) middle

c) posterior

Mandibular:

d) Inferior Dental Nerve

e) Mental Nerve

f) Lingual Nerve

Learning Outcome

The learner will:

2. Understand the recording and processing of oral health assessments.

Assessment Criteria

The learner can:

2.1 Describe the reasons for carrying out extra-oral and intra-oral methods of

assessment and diagnosis.

2.2 Explain the reasons for recording contemporaneous clinical information.

2.3 Explain how to process and store dental records, charts, and images in a

manner that maintains their confidentiality.

2.4 Summarise the legal requirement for patients to access their dental records.

2.5 Explain types of charting used to record oral health assessments.


2.6 Describe why triaging is necessary.

2.7 Identify the questions a patient should be asked when making an appointment

for an oral health assessment.

2.8 Describe the signs, symptoms and management of conditions of the oral

mucosa that could be identified during a clinical assessment:

a) acute abscess

b) denture stomatitis

c) angular cheilitis

d) aphthous ulcer / traumatic ulcer

e) glossitis / fissured / geographic tongue

f) frictional keratosis

g) pregnancy epulis

2.9 Explain how medical conditions may affect oral tissues and influence

treatment planning.

2.10 Explain why various antibiotics are prescribed in dentistry.

2.11 Describe the main side effects of antibiotics.

2.12 Explain the security measures that should be in place when providing the

patient with a prescription.

2.13 Describe National Institute for Health & Care Excellence (NICE) guidelines for

recall intervals between oral health assessment reviews / examinations.

Range

(AC2.1) Methods

a) Visual

b) Palpation

c) Using probes for hard and soft tissue examinations

i. Sickle

ii. Straight

iii. Briault

iv. WHO / BPE

v. 6-point pocket chart (Williams)

d) Transillumination

e) Vitality testing

i. Cold

ii. Heat

iii. Electrical

f) TTP (tender to percussion) technique

(AC2.2) Clinical information

a) Dental charts

b) Basic periodontal examination (bpe) / periodontal chart

c) Radiographs (to include orthodontics)

d) Photographs (to include orthodontics)


51

e) Study models (to include orthodontics)

f) Personal details

g) Social history

h) Medical history

i) Consent (with written/signed treatment plan)

j) Referral letters

(AC2.5) Types of charting

a) Palmer Notation charting

b) FDI (Fédération Dentaire Internationale)

c) BPE (Basic Periodontal Examination)

d) Full periodontal charting

(AC2.9) Medical conditions

a) Herpes simplex – cold sores

b) Diabetes: insulin / medication / diet controlled

c) Epilepsy / anticonvulsant medication

d) Pregnancy

e) Bleeding disorders / anticoagulants

f) Osteoporosis (Bisphosphonate therapy)

g) Cancer (Head and neck radiotherapy, chemotherapy)

(AC2.10) Antibiotics

a) Penicillin

b) Erythromycin

c) Clarithromycin

d) Metronidazole

Learning Outcome

The learner will:

3. Understand the information required in an orthodontic assessment.

Assessment Criteria

The learner can:

3.1 Define the terms that may be used in an orthodontic assessment.

3.2 Describe the Index of Orthodontic Treatment Needs (IOTN) rating system.

3.3 Describe the purpose of using orthodontic appliances.

3.4 Describe the function of an orthodontic retainer.


Range

(AC3.1) Terms

a) Overjet

b) Overbite

c) Diastema

d) Spacing

e) Crowding

f) Supernumerary tooth

g) ‘Open’ bite

h) Skeletal classification / jaw relationship

i. Class i

ii. Class ii

iii. Class iii

i) Lip competency

j) Angle’s classification of incisors

i. Class i

ii. Class ii division 1

iii. Class ii division 2

iv. Class iii

(AC3.2) Index of Orthodontic Treatment Needs (IOTN)

a) Dental health component

b) Aesthetic component

(AC3.3) Orthodontic appliances: (eg types of tooth movement)

a) removable appliance

b) fixed appliance

c) functional appliance

(AC3.4) Orthodontic retainer

a) removable

b) fixed


53

Learning Outcome

The learner will:

4. Be able to assist during an oral examination and complete dental charts.

Assessment Criteria

The learner can:

4.1 Provide clinical notes to assist the clinician when conducting an oral

examination.

4.2 Prepare equipment and instruments for the clinician to:

a) examine intra-oral soft tissues

b) complete a dental charting of teeth

c) complete a gingival periodontal scan/pocket depths

4.3 Record a permanent dental chart as spoken by the clinician when conducting

an oral examination.

4.4 Update patient records as directed by the clinician (eg social, medical and

dental history) and ensure they are stored securely in line with legislation.

Learning Outcome

The learner will:

5. Be able to complete hand-written Palmer Notation dental charts

Assessment Criteria

The learner can:

5.1 Produce a hand-written Palmer Notation chart of:

a) an adult patient showing common restorative and prosthetic treatments

along with decayed, missing and filled anterior and posterior teeth

b) a child in the mixed dentition stage showing decayed, missing and filled

deciduous teeth, and permanent teeth with fissure sealants


Unit 304 Dental and regional anatomy, oral

health assessments and treatment

planning



Learning Outcomes 1, 2 and 3 – Centres may use professional discussion, assessor



Learning Outcome 4 – minimum of one observation by assessor or expert witness

(simulation is not allowed)

Learning Outcome 5 – To be assessed by simulation (centre resource is available)

which must be carried out by the assessor to meet the assessment criteria. The learner

must complete hand-written Palmer Notation charts to ensure sufficient evidence of

competence in this area.


55

Unit 305 Recognising and supporting actions

during first aid and medical emergencies

Unit level: Level 3

GLH: 28

Unit aim: The aim of this unit is for learners to demonstrate

underpinning knowledge and skills to enable the

recognition of medical emergencies and to support

effective first aid and treatment of medical

emergencies.

Learners will develop an understanding of the role of

trained responders including the administration of

emergency drugs, use of emergency equipment, record

keeping and infection control.

Learning Outcome

The learner will:

1. Understand the human respiratory and circulatory systems and potential

impacts in a medical emergency.

Assessment Criteria

The learner can:

1.1 Describe the function of the human respiratory and circulatory systems

1.2 Describe the components of blood.

1.3 Identify changes in human respiratory and circulatory systems which may

indicate a medical emergency.

Range

(AC1.1) Respiratory and circulatory systems

a) Heart

i. Ventricles


ii. Atria

iii. Valves

iv. Coronary arteries

v. Pulmonary artery / vein

vi. Aorta

vii. Vena Cava

b) Lungs

i. Trachea

ii. Alveoli

c) Blood vessels

i. Arteries

ii. Veins

iii. Capillaries

(AC1.2) Components of blood

a) Plasma

b) Red blood cells / haemoglobin

c) White blood cells / immune system

(AC1.3) Changes in human respiratory and circulatory systems

a) Breathing rate

b) Heart rate

Learning Outcome

The learner will:

2. Understand the role and responsibilities of a first aider.

Assessment Criteria

The learner can:

2.1 Summarise the role and responsibilities of a qualified first aider.

2.2 Describe methods to minimise the risk of infection to self and others during first

aid and Cardiopulmonary Resuscitation (CPR) procedures.

2.3 Describe how to establish consent to provide first aid and CPR.

2.4 Identify the contents of the first aid kit.

2.5 Describe the safe working practices for first aid and medical emergencies in

line with organisational and legal requirements.


57

Range

(AC2.3) Establish consent

a) Conscious patient

b) Unconscious patient

(AC2.5) Safe working practices

a) Training

b) Accident record keeping

c) Storage and auditing of emergency drugs

Learning Outcome

The learner will:

3. Be able to assess an incident.

Assessment Criteria

The learner can:

3.1 Conduct a scene survey.

3.2 Conduct a primary survey of a casualty.

3.3 Give examples of when to call for help.

Learning Outcome

The learner will:

4. Be able to manage an unresponsive casualty who is breathing normally.

Assessment Criteria

4.1 Assess a casualty's level of consciousness.

4.2 Open a casualty's airway and check breathing.

4.3 Assess the casualty for any other injuries.

4.4 Demonstrate placing an unresponsive casualty in the recovery position.


Learning Outcome

The learner will:

5. Be able to manage an unresponsive casualty who is not breathing normally.

Assessment Criteria

5.1 Demonstrate Cardio-Pulmonary Resuscitation (CPR) using a manikin.

5.2 Identify the accepted CPR requirements for children and adults as specified by

the Resuscitation Council UK.

5.3 Demonstrate how to safely prepare the casualty for Automatic External

Defibrillator (AED).

5.4 Demonstrate how to assist a casualty who is choking.

Learning Outcome

The learner will:

6. Understand the management of medical emergencies in the dental setting.

Assessment Criteria

The learner can:

6.1 Explain the signs and symptoms of medical emergencies.

6.2 Describe how to manage medical emergencies that may occur in the dental

setting.

6.3 Identify the uses of emergency drugs to treat medical emergencies.

6.4 Describe the hazard associated with treating a patient in the supine position

with an unprotected airway.

6.5 Describe how to assist a patient who is choking.

Range

(AC6.1, AC6.2, AC6.3) Medical emergencies

a) Fainting

b) Hypoglycaemia/hyperglycaemia

c) Asthma attack

d) Angina

e) Myocardial infarction

f) Cardiac arrest

g) Epileptic seizure

h) Anaphylaxis

i) Stroke


59

Unit 305 Recognising and supporting actions

during first aid and medical

emergencies






Learning Outcomes 3, 4 and 5 – minimum of one simulation. RPL can be used

(EFAW/FAW training and assessment within 1 year of completion).


Unit 306 The safe use of ionising radiation to

produce quality radiographic images

Unit level: Level 3

GLH: 32

Unit aim: The aim of the unit is to enable the learner to develop

the knowledge and skills needed to carry out their duties

relating to dental radiography.

Learners will understand current legislation relating to

radiography in addition to the principles and techniques

of taking, processing, storing and quality assuring

radiographs.

Learners will also demonstrate the processing method

used in their clinical environment.

Learning Outcome

The learner will:

1. Understand the regulations and hazards associated with ionising radiation.

Assessment Criteria

The learner can:

1.1 Describe the legal requirements for ionising radiation within a dental setting.

1.2 Summarise the risks associated with ionising radiation.

1.3 State the purpose of the controlled area.

1.4 State the importance of an isolation switch.

1.5 State the purpose of lead foil in a traditional radiographic film.

1.6 State the purpose of an intensifying screen in an extra-oral cassette.

Range


a) The current Ionising Radiation Regulations


61

b) The current Ionising Radiation (Medical Exposure) Regulations

c) Local rules

d) Radiation protection file

(AC1.2) Risks

a) Primary beam

b) Scatter radiation

c) Absorption by the patient

d) Equipment failure

e) Accidental exposure (to patient or self)

Learning Outcome

The learner will:

2. Understand the different radiographic images and their diagnostic value.

Assessment Criteria

The learner can:

2.1 Explain the diagnostic value of intra-oral radiographic images.

2.2 Explain the diagnostic value of extra-oral radiographic images.

2.3 Evaluate the advantages of using digital radiography in the dental setting.

Range

(AC2.1) Intra-oral radiographic images

a) Bitewing

b) Periapical

(AC2.2) Extra-oral radiographic images

a) Dental pantomograph (DPT) / orthopantomograph (OPG) / panoral

Learning Outcome

The learner will:

3. Understand the processing methods and faults that can occur when

processing radiographs.


Assessment Criteria

The learner can:

3.1 Explain methods for processing radiographs.

3.2 Describe the reasons for faults visible on radiographic images.

Range

(AC3.1) Methods

a) automatic film processing

b) digital

i. direct

ii. indirect

(AC3.2) Reasons

a) operator error

b) processing error

c) patient error and accessories (eg. dentures, glasses)

d) equipment error

e) storage of materials

Learning Outcome

The learner will:

4. Understand the importance of quality assurance in dental radiography.

Assessment Criteria

The learner can:

4.1 Describe the quality control systems used in dental radiography.

4.2 Explain how quality control systems are carried out to comply with the principle

of ALARP (radiation dose to be As Low As Reasonably Practicable).

4.3 Explain the methods of mounting radiographic images.

Range

(AC4.2) Quality control systems

a) Radiographic image grading process

b) Step-wedge test

c) Quality assurance of direct and indirect digital X-ray sensors/plates

d) IRMER operator requirements


63

Learning Outcome

The learner will:

5. Be able to provide support and resources for taking radiographic images.

Assessment Criteria

The learner can:

5.1 Maintain safe working practices throughout radiographic imaging procedures.

5.2 Provide the correct resources required by the operator for taking radiographic

images.

5.3 Decontaminate radiographic equipment after use.

Range

(AC5.2) Resources

a) Holder

b) Sensor or phosphor plate or film

Learning Outcome

The learner will:

6. Be able to process a radiographic image.

Assessment Criteria

The learner can:

6.1 Process a radiographic image.

6.2 Maintain the quality of the radiographic image during processing.

6.3 Store the radiographic image permanently and securely.


Unit 306 The safe use of ionising radiation to

produce quality radiographic images



Learning Outcomes 1, 2, 3 and 4 – Centres may use professional discussion, assessor



Learning Outcomes 5 and 6 – minimum of one observation. This must be carried out

by the assessor. Simulation is not allowed.


65

Unit 307 Provide support for the control of

periodontal disease and caries, and the

restoration of cavities

Unit level: Level 3

GLH: 28

Unit aim: This unit will enable learners to gain the knowledge and

skills required to prepare the clinical environment and

assist with various periodontal and restorative

procedures to provide appropriate patient care.

Learning Outcome

The learner will:

1. Understand the range of procedures, materials, instruments and equipment

available for periodontal treatments.

Assessment Criteria

The learner can:

1.1 Explain the importance of removing supra-gingival and sub-gingival calculus

by a clinician.

1.2 Describe the equipment, instruments and materials used for removing

a. supra-gingival calculus

b. sub-gingival calculus and infected cementum.

1.3 Explain using examples, the term ‘plaque trap’ / ‘stagnation area’.

Range

(AC1.2) Equipment, instruments and materials

a) Hand scalers

i. Push scaler

ii. Periodontal hoe

iii. Curette

iv. Jacquette/Sickle


b) Prophylaxis paste

c) Prophylaxis applicator

d) Ultrasonic scaler

Learning Outcome

The learner will:

2. Understand the range of procedures, materials, instruments and equipment

available for restorative treatments.

Assessment Criteria

2.1 Describe Black’s Classification of Cavities.

2.2 Describe the equipment and instruments used in the preparation of cavities.

2.3 Describe the different types of matrix system and how they are used.

2.4 Explain the advantages, disadvantages and restrictions associated with

restorative materials and lining materials.

2.5 Describe the reasons for the use of

a. etchant

b. bonding agent

c. curing light

d. dental amalgamator

2.6 Describe the purpose and procedure for placing a fissure sealant.

2.7 Explain the importance of effective moisture control throughout restorative

treatments.

Range

(AC2.2) Equipment and instruments

a) Curing light

b) Handpiece

i. High speed

ii. Slow speed

c) Types of Bur

i. Friction grip/latch grip

ii. Diamond/steel

iii. Cylinder/tapered/rose-head

d) Hand instruments

i. mirror

ii. probes

iii. tweezers

iv. excavator

v. flat plastic


67

vi. wards carver

vii. packer/plugger/condenser

viii. burnishers

ix. lining applicators

e) Restorative material applicators (eg amalgam carrier, composite gun, glass

ionomer dispenser)

f) Items required for finishing (eg stones, strips, discs, articulating paper)

(AC2.3) Matrix system

a) Tofflemire matrix holder and band

b) Siqveland matrix holder and band

c) Wedges

d) Transparent strips

e) Single-use assembled matrix systems

(AC2.4) Restorative materials

a) Amalgam

b) Composite

c) Glass ionomer

d) Temporary cement

(AC2.4) Lining materials

e) Zinc-based liners

f) Calcium hydroxide

g) Glass ionomer

Learning Outcome

The learner will:

3. Be able to support the patient and clinician before, during and after

periodontal treatment.

Assessment Criteria

The learner can:

3.1 Provide the clinician with the patient’s records for the planned treatment.

3.2 Select the equipment, instruments and materials for the planned treatment.

3.3 Aspirate during the treatment, maintaining a clear field of operation.

Range

(AC3.1) Patient’s records

a) clinical notes and dental charts


b) radiographic images

c) medical history

d) valid consent


a) handpiece

b) hand instruments

c) ultrasonic scaler

d) items required for finishing (eg polishing brushes/cups, prophylaxis paste)

(AC3.2) Treatment

e) scaling

f) polishing

Learning Outcome

The learner will:

4. Be able to support the patient and clinician before, during and after restorative

treatment.

Assessment Criteria

The learner can:

4.1 Provide the clinician with the patient’s records for the planned treatment

4.2 Select the equipment, instruments and materials for the planned treatment

4.3 Aspirate during the treatment, maintaining a clear field of operation

4.4 Provide the clinician with the correct quantity and consistency of restorative

material

4.5 Support the patient by monitoring them through the procedure, putting their

interests first and offering reassurance.

Range




c) medical history

d) valid consent


a) curing light

b) handpiece

c) hand instruments


69

d) matrix system

e) restorative material

f) items required for finishing (eg burs, strips, discs, articulating paper)

(AC4.2) Treatment

g) amalgam restorations

h) composite restorations

i) glass ionomer restorations


Unit 307 Provide support for the control of

periodontal disease and caries, and the




Learning Outcomes 1 and 2 - Centres may use professional discussion, assessor



Learning Outcome 3 – Minimum of one observation by the assessor.

Learning Outcome 4 – Minimum of one observation* of one of the treatments from the

range by the assessor. The restorative treatments that are not observed by the

assessor should be evidenced in the learner’s portfolio. This evidence may include:

expert witness testimony / professional discussion / question and answer / assignments

/ reflective account.

*The primary method of assessment must be observation. Assessment criteria not

sufficiently covered during the observation can be assessed by an appropriate

secondary method.


71

Unit 308 Provide support during the stages of

prosthetic treatments

Unit level: Level 3

GLH: 28

Unit aim: The aim of this unit is for the learner develop the

knowledge and skills to understand the range of fixed

and removable appliances, when and how these are

used in dentistry.

This unit will also reflect the learner’s practical skills and

understanding of how to prepare the clinical

environment for the stages of fixed and removable

prostheses, and the appropriate support for patient-

centred care.

Learning Outcome

The learner will:

1. Know the purpose of fixed prostheses used in dentistry and the equipment,

instruments and materials used in their construction.

Assessment Criteria

The learner can:

1.1 Explain the difference between fixed and removable prostheses, and why they

are used in dentistry.

1.2 Describe fixed prosthetic treatments available to replace missing teeth.

1.3 Describe why a clinician may choose to carry out a preparation for a

permanent restorative fixed prostheses.

1.4 Explain the use of equipment, instruments, burs and materials during the

preparation of a permanent restorative fixed prostheses.

1.5 Explain the purpose of a gingival retraction cord.

1.6 Describe the different types and purposes of temporary fixed prostheses.

1.7 Explain the equipment and materials used in the construction of a temporary

fixed prostheses.

1.8 Explain the purpose of a temporary luting cement.


1.9 Outline the advice which should be given to a patient with a temporary fixed

prostheses.

1.10 Explain the different types of permanent luting cements for cementation of

permanent fixed prostheses.

1.11 Describe the equipment, instruments and materials used in the fitting of a

permanent fixed prostheses.

1.12 Outline the CAD/CAM process used to produce a fixed prosthesis, including

capturing the data and production of the prosthesis.

Range

(AC1.2) Treatments available to replace missing teeth

a) Implants

b) Bridges

i. Conventional retainer / pontic

ii. Adhesive (maryland)

(AC1.3) Permanent restorative fixed prostheses

a) Jacket crown (anterior and posterior)

b) Post crown

c) Veneer

d) Inlay / onlay

(AC1.6, AC1.7) Temporary fixed prostheses

a) Pre-formed temporary crown

b) Chairside-constructed temporary crown

c) Veneer

d) Inlay / onlay

(AC1.10) Permanent fixed prosthesis

a) Crown

b) Veneer

c) Inlay/onlay

d) Bridge

i. Conventional

ii. Adhesive


73

Learning Outcome

The learner will:

2. Be able to select and prepare equipment, instruments and materials for fixed

prostheses.

Assessment Criteria

The learner can:

2.1 Provide the clinician with the patient’s records for the planned treatment

2.2 Prepare equipment, instruments and materials for preparation of a permanent

fixed prosthesis to include fitting and adjustment of the temporary fixed

prosthesis

2.3 Maintain a clear field of operation by applying moisture control and protect

soft tissues during the clinical procedure

2.4 Monitor the patient and provide support to the patient and clinician during the

clinical procedure

Range


a) Clinical notes and dental charts

b) Radiographic images

c) Medical history

d) Valid consent

(AC2.2) Equipment

a) Aspirator

b) Hand instruments

c) Shade guide

d) Handpieces

(AC2.2) Materials

e) Temporary crown material

f) Temporary luting cement

g) Permanent adhesive / luting cement

h) Articulating paper

Learning Outcome

The learner will:

3. Know the purpose of removable prostheses used in dentistry and the

equipment, instruments and materials used in their construction.


Assessment Criteria

The learner can:

3.1 Describe the types of removable prostheses available:

a) Partial

i. Acrylic

ii. Cobalt-chrome

b) Full

c) Immediate

3.2 Explain the stages and the use of equipment, instruments and materials

required when constructing a full acrylic denture.

3.3 Explain how the stages would differ when constructing a partial cobalt-chrome

or immediate prosthesis.

3.4 Describe the benefits of a cobalt-chrome partial denture when compared with

an acrylic partial denture.

3.5 Explain the additional information the patient will require when an immediate

denture is fitted.

Range

(AC3.2) Stages

a) primary impressions

b) secondary impressions

c) bite (occlusal) registration

d) try in

e) retry

f) fit

g) review


h) Stock impression trays

i) Alginate impression material

j) Shade guide

k) Special trays

l) Elastomer impression material

m) Wax knife

n) Willis bite gauge

o) Le Cron carver

p) Patient mirror

q) Articulating paper

r) Fox’s occlusal plane guide

s) Heat source

t) Wax

u) Acrylic trimming burs

v) Straight handpiece


75

Learning Outcome

The learner will:

4. Be able to select and prepare the equipment, instruments and materials for

removable prostheses.

Assessment Criteria

The learner can:


4.2 Prepare equipment, instruments and materials for a stage in the construction of

a removable prosthesis.

4.3 Monitor the patient and provide support to the patient and clinician during the

clinical procedure.

Range




c) medical history

d) consent

Learning Outcome

The learner will:

5. Understand the materials and equipment used for fixed and removable

prostheses.

Assessment Criteria

The learner can:

5.1 Define the terms ‘working arch’ and ‘opposing arch’.

5.2 Explain why different impression materials are used in the fabrication of

prostheses.

5.3 Summarise the use of an articulator.

5.4 Explain the purpose of the laboratory prescription for a prosthesis.

5.5 Explain the relevance of the term ‘custom made device’.

5.6 Explain the importance and the process of taking an accurate shade for

prostheses.

5.7 Explain the disinfection and storage requirements for impression materials.


Range

(AC5.2, AC5.7) Impression materials

a) Alginate

b) Elastomer

Learning Outcome

The learner will:

6. Be able to select, prepare and mix materials for fixed and removable

prostheses.

Assessment Criteria

The learner can:

6.1 Prepare impression materials to the correct ratio, consistency and quantity,

within handling and setting times relative to the material.

6.2 Load impression materials on the impression tray.

6.3 Disinfect impressions upon removal from the patient’s mouth and prepare for

transportation to the laboratory, in line with current legal guidelines and

practice policy.

6.4 Record appropriate and sufficient information on laboratory prescription.

6.5 Hand mix a powder/liquid permanent luting cement to the required

consistency expected when fitting a crown.

Range

(AC6.1, AC6.2) Impression materials

a) Alginate

b) Elastomer


77








Learning Outcomes 2 and 4 – must be observed as separate procedures.

LO2: one observation* carried out by the assessor to cover one of the below

preparations:

One of:

• Crown

• Conventional bridge

• Veneer

LO4: one observation* by the assessor or expert witness to cover one of the

removable prosthesis stages below:

One of:

• Primary / secondary impressions

• Bite

• Fit



secondary method.

Learning Outcome 6 – Assessment criteria 6.1 – 6.4 may be observed during

assessment of outcomes 2 and 4. Any assessment criteria not observed can be

assessed by simulation. Assessment criteria 6.5 may be assessed during observations in

the workplace by an assessor or expert witness, where this is not possible, then it may

be assessed using a simulated activity.



endodontic procedures

Unit level: Level 3

GLH: 24

Unit aim: The unit aim is to is to understand the various types of

endodontic treatment and their application.

Learners will gain an understanding of the possible

complications associated with providing endodontic

treatment.


understanding of how to prepare the clinical dental

environment for endodontic treatment and the

appropriate support for patient-centred care.

Learning Outcome

The learner will:

1. Understand endodontic treatments.

Assessment Criteria

The learner can:

1.1 Explain the reasons for performing endodontic treatment.

1.2 Describe the procedures undertaken when performing endodontic treatment.

1.3 Describe the stages of pulpectomy treatment.

1.4 Describe the functions of equipment, instruments and materials used in

pulpectomy treatment.

1.5 Explain the complications that could occur during pulpectomy treatment,

safety measures and your actions.

1.6 Describe why moisture control is required in endodontic treatment.

1.7 Describe the potential consequences following endodontic treatment.


79

Range

(AC1.1, AC1.2) Endodontic treatment

a) Indirect pulp capping

b) Direct pulp capping

c) Pulpotomy

d) Pulpectomy

e) Apicectomy

(AC1.3) Stages

a) Isolation

b) Access and location

c) Measurement and working length

d) Preparation

e) Irrigation

f) Obturation


a) Dental dam kit

b) Apex locator

c) Endodontic handpiece

d) Irrigation needle and syringe

e) Sodium Hypochlorite irrigation solution

f) Lubricant

g) Barbed broaches

h) Gates-Glidden drills

i) Endodontic files

j) Paper points

k) Medicaments for temporisation

l) Gutta percha points

m) Canal sealant

n) Finger spreader/lateral condenser

(AC1.5) Complications

a) Instrument separation (fracture)

b) Inhalation

c) Ingestion

d) Perforation of the apex

e) Lateral canal

f) Sclerosis

(AC1.7) Consequences

a) Re-treatment

b) Tooth fracture

c) Tooth discolouration


d) Treatment failure

Learning Outcome

The learner will:

2. Be able to prepare the clinical environment for the assistance of the clinician

and support of the patient during a pulpectomy procedure.

Assessment Criteria

The learner can:


2.2 Prepare and provide the clinician with equipment, instruments and materials

for stages of a pulpectomy.

2.3 Monitor, support and reassure the patient throughout the treatment, ensuring

patient centred care.

2.4 Aspirate during the treatment, maintaining a clear field of operation.

Range


a) Clinical notes

b) Radiographic images

c) Medical history

d) Valid consent

(AC2.2) Stages

a) Access

b) Isolation

c) Pulp extirpation

d) Measurement

e) Preparation

f) Irrigation

g) Restoration (temporary or permanent)


81





Learning Outcome 1 - Centres may use professional discussion, assessor devised

questions, expert witness testimonies, outcomes of research-based activities,


Learning Outcome 2 - Minimum of one observation to be carried out by the assessor.

The primary method of assessment must be observation. Assessment criteria not


secondary method.

Simulation is not allowed.


Unit 310 Provide support during extractions and

minor oral surgery

Unit level: Level 3

GLH: 24

Unit aim: The unit aim is to is to understand extractions and the

various types of minor oral surgery including the possible

complications associated with providing these

treatments.


understanding of how to prepare the clinical dental

environment for extractions and the appropriate support

for patient-centred care.

Learning Outcome

The learner will:

1. Know the processes, equipment, instruments and materials for extractions and

minor oral surgery.

Assessment Criteria

The learner can:

1.1 Explain the reasons for performing extractions and minor oral surgery.

1.2 Explain the purpose of raising a mucoperiosteal flap and bone removal during

oral surgery.

1.3 Describe the functions of equipment, instruments and materials required for

extraction and minor oral surgery.

1.4 Explain pre-operative instructions that may need to be followed by the patient

prior to treatment.

1.5 Explain why post-operative instructions need to be followed by the patient

after treatment.

1.6 Identify the causes of post-operative complications following extraction or

minor oral surgery.


83

Range

(AC1.1) Minor oral surgery

a) Implants

b) Fraenectomy

c) Biopsy

d) Impacted teeth/retained roots

e) Operculectomy


a) Luxators

b) Elevators

c) Extraction forceps

d) Scalpel

e) Periosteal elevator

f) Soft tissue retractor

g) Spencer Wells

h) Scissors

i) Suture with suture needle

j) Surgical aspirator tip

k) Surgical hand piece

l) Surgical burs

m) Irrigation solution for surgical procedures

n) Haemostatic agents

o) Gauze pack

(AC1.6) Complications

a) Haemorrhage

b) Localised osteitis

c) Nerve damage

d) Oro-antral communication

Learning Outcome

The learner will:

2. Prepare the clinical environment and support the patient and clinician during

the extraction of a permanent tooth.

Assessment Criteria

The learner can:


2.2 Provide the equipment, instruments and materials required for the extraction.

2.3 Support the patient during the administration of local anaesthetic.


2.4 Monitor the patient during the procedure.

2.5 Assist the clinician during the procedure.

Range




c) medical history

d) valid consent


a) Local anaesthetic syringe, needle and cartridge

b) Luxator and/or elevator

c) Extraction forceps

d) Gauze

Learning Outcome

The learner will:

3. Be able to assist the clinician and support the patient following extractions.

Assessment Criteria

The learner can:

3.1 Provide the patient with appropriate post-operative instructions following the

procedure.

3.2 Check that the patient is fit to leave the surgery following the procedure.

Range

(AC3.1) Post-operative instructions

a) Oral

b) Written


85

Unit 310 Provide support during extractions and

minor oral surgery



Learning Outcome 1 – Centres may use professional discussion, assessor devised

questions, expert witness testimonies, outcomes of research-based activities,


Learning Outcomes 2 and 3 – Minimum of one observation* to cover learning

outcomes 2 and 3. Can be carried out by the assessor or an Expert Witness. For

outcome 3 simulation is allowed where observation is not possible.



secondary method.


Unit 311 Scientific and practical information to

support the patient’s oral and physical

health

Unit level: Level 3

GLH: 48

Unit aim: This unit focuses on the theory of causes, progression

and management of oral disease, and how this

knowledge can be applied in order to provide

information to support patients.

Learners will develop the knowledge and skills required

to provide patients with health information and advice

tailored to their needs.

Learning Outcome

The learner will:

1. Understand the reasons for providing patients with oral health information in

response to promotional campaigns.

Assessment Criteria

The learner can:

1.1 Explain the reasons for providing patients with oral health information.

1.2 Explain methods for delivering oral health messages in line with ethical

responsibilities.

1.3 Identify recognised national oral health campaigns and describe how they

can be implemented to a target audience.

Range

(AC1.1) Reasons

a) Regional, cultural and social trends, including variations in oral health in the UK

b) Restricted access to oral healthcare


87

c) National initiatives/guidelines (eg Public Health England / Department of

Health / National Institute for Health and Care Excellence (NICE))

d) Standardising patient information

(AC1.3) Target audience

a) Patients in the dental setting

b) Dental care professionals

c) Other healthcare professionals

Learning Outcome

The learner will:

2. Understand the scientific basis of oral health

Assessment Criteria

The learner can:

2.1 Explain the composition and development of plaque.

2.2 Describe the structure and function of the periodontium.

2.3 Explain the causes and progression of oral disease.

2.4 Identify the signs and symptoms of gingival inflammation.

2.5 Summarise the differences between gingivitis and periodontitis.

2.6 Describe the terms ‘false pocket’ and ‘true pocket’.

2.7 Describe the causes of dental caries.

2.8 Describe the progression, signs and symptoms of dental caries from

demineralisation to a pulpal exposure.

2.9 Describe how the following influence dental caries

a. pits and fissures

b. proximal surfaces

c. smooth surfaces

d. white spot lesion

e. remineralisation (arrested caries)

f. gum recession.

2.10 Describe the causes of non-carious tooth surface loss.

Range

(AC2.1) Development of plaque

a) pellicle

b) toxins/acids

c) calcification


(AC2.3) Oral disease

a) gingivitis

b) periodontal disease

c) acute necrotising ulcerative gingivitis (ANUG)

(AC2.10) Causes

a) erosion

b) abrasion

c) attrition

Learning Outcome

The learner will:

3. Understand factors that influence oral and general health

Assessment Criteria

The learner can:

3.1 Describe the principles of preventative oral care when combating

a. caries

b. periodontal disease

c. non-carious tooth surface loss (erosion / abrasion / attrition).

3.2 Explain the impact of diet on oral health.

3.3 Explain the impact of diet on physical health.

3.4 Explain how medical history affects a patient’s oral health.

3.5 Explain how social history affects a patient’s oral health.

3.6 Explain how lifestyle affects a patient’s oral health.

3.7 Describe pre-malignant and malignant lesions.

3.8 Describe how pre-malignant and malignant lesions are

a. diagnosed

b. referred

c. managed.

Range

(AC3.2) Impact of diet on oral health

a) Sugars: intrinsic, extrinsic, hidden

b) Sugars: frequency - stephan’s curve

c) Acidic drinks eg. Carbonated / non-carbonated

d) Acidic foods eg. Vinegar / citrus fruits


89

(AC3.3) Impact of diet on physical health

a) Portion size

b) Nutritional balance

c) Sugar consumption

(AC3.4) Medical history

a) Medication (include medicines containing sugar)

b) Medical conditions

i. GORD (gastro-oesophageal reflux disease)

ii. Pregnancy

c) Eating disorders

d) Xerostomia

i. Medication

ii. Head and neck radiation therapy following oral cancer

(AC3.5) Social history

a) Family background

b) Culture

c) Socio-economic factors

(AC3.6) Lifestyle

a) Environmental issues (include fluoridated water supply)

b) Habits and recreational activities (include mouthguard)

c) Sugar-free chewing gum

d) Alcohol use

e) Tobacco use

f) Betel nut / pan habit

g) Exposure to ultra-violet radiation

(AC3.7) Lesions

a) Lichen planus

b) Leukoplakia

c) Erythroplakia

d) Non-healing ulcer

e) Squamous cell carcinoma

Learning Outcome

The learner will:

4. Understand the prevention and management of oral diseases.

Assessment Criteria

The learner can:


4.1 Explain oral hygiene techniques and aids used to prevent oral disease

4.2 Explain methods of administering fluoride both systemically and topically

4.3 Explain the advantages and disadvantages of administering fluoride (topically

/ systemically including overdose / fluorosis)

4.4 Describe enamel hypoplasia

4.5 Explain how to clean and care for prostheses

4.6 Explain post-operative advice given to patients who have received a fixed or

removable orthodontic appliance

Range

(AC4.1) Oral hygiene techniques and aids

a) Toothbrushing

b) Use of appropriate toothpastes according to patient’s needs

i. ‘over the counter’ toothpastes

ii. Prescription only medicines

c) Interdental cleaning aids

d) Disclosing agents

e) Mouthwashes

i. Fluoride

ii. Antibacterial

(AC4.2) Fluoride

a) Professionally applied

i. Varnish

ii. Full-mouth gels

b) Water supply

c) Tablets

(AC4.5) Prostheses

a) Dentures

i. Full

ii. Partial (acrylic, cobalt-chrome)

b) Bridges

c) Implants

(AC4.6) Post-operative advice

a) Care and maintenance of

i. Removable appliance

ii. Fixed appliance

b) Caries risk


91

Learning Outcome

The learner will:

5. Be able to communicate with patients to deliver standardised oral health

information.

Assessment Criteria

The learner can:

5.1 Plan to provide information to a patient on means of developing their skills,

knowledge and behaviours for the prevention of oral disease.

5.2 Check the identity of the patient, introduce themselves and the purpose of the

visit.

5.3 Provide information to the patient that is accurate, consistent, and in line with

organisational/evidence-based guidelines, as set out in their treatment plan.

5.4 Use a range of resources to assist with the delivery of the oral health

information.

5.5 Give the patient the opportunity to discuss their problems, treatment plan and

ask questions.

5.6 Interact with and motivate the patient according to their needs.

Range

(AC5.4) Resources

a) Models / demonstration pieces

b) Oral hygiene aids

c) Visual aids

d) Leaflets

e) Media educational tools

(AC5.4) Information:

f) to address the problems the patient is experiencing.

g) to explain the consequences if the problems are not addressed.


Unit 311 Scientific and practical information to

support the patient’s oral and physical

health



Learning Outcomes 1, 2, 3 and 4 - Centres may use professional discussion, assessor



Learning Outcome 5 – minimum of one simulation* to cover this learning outcome.

The role of the patient must not be played by the assessor. The simulated scenario

should cover one of the following patient types:

• children / young people

• adults

• seniors

• those with additional individual needs (capacity)

*The primary method of assessment must be simulation. Assessment criteria not

sufficiently covered during the simulation can be assessed by an appropriate

secondary method.


93

Appendix 1 Learner Induction Checklist

Name of Employer

Name of Learner

Start date of

Employment/Placement

Please confirm that the learner has

received the following training and

information during the workplace induction

period

Date of

Completion

Signed by

Employer/Workplace

Supervisor/Mentor

Immunisation protocols

Workplace health and safety policies and

procedures.

Workplace COSHH policies and procedures

Waste disposal training including hazardous

waste and disposal of sharps

Prevention and control of infection control

policy

Personal Protective Equipment (PPE)

Hand washing

Decontamination/sterilisation

workplace procedures and policies

Sharps injury protocol

Reporting of injuries,

accidents, hazards and risks, and records

required


Fire procedure

Radiation protection policy

and procedures

Patient care

Professionalism

Confidentiality/data protection

Patient consent

Student identification

I confirm that the learner has an allocated workplace supervisor/mentor.

The supervisor/mentor will be ...................................................

GDC Number...............................................................

All of the above listed activities and training have been completed during the workplace

induction. I confirm that records of training completed during the induction process have

been maintained and can be presented if requested and are available for external audit.

The above named learner is ready to provide chair side support during general dental

procedures and provide support to the operator and patients during general dental

procedures.

Signed by Employer/Workplace

Supervisor/Mentor

GDC Number:

Date:

Signed by learner:

Date:

Centre Signature:

Position:

Date:


95

Appendix 2 Sources of general information

The following documents contain essential information for centres delivering City &

Guilds qualifications. They should be referred to in conjunction with this handbook. To

download the documents and to find other useful documents, go to the Centre

document library on www.cityandguilds.com.

City & Guilds Centre Manual contains detailed information about the processes

which must be followed and requirements which must be met for a centre to achieve

‘approved centre’ status, or to offer a particular qualification, as well as updates and

good practice exemplars for City & Guilds assessment and policy issues. Specifically,

the document includes sections on:

The centre and qualification approval process

Assessment, internal quality assurance and examination roles at the centre

Registration and certification of candidates

Non-compliance

Complaints and appeals

Equal opportunities

Data protection

Management systems

Maintaining records

Assessment

Internal quality assurance

External quality assurance.

Our Quality Assurance Requirements encompasses all of the relevant requirements

of key regulatory documents and sets out the criteria that centres should adhere to

pre- and post-centre and qualification approval.

Access Arrangements and Special Consideration provides full details of the

arrangements that may be made to facilitate access to assessments and

qualifications for candidates who are eligible for adjustments in assessment.

The centre homepage section of the City & Guilds website also contains useful

information on such things as:

Walled Garden: how to register and certificate candidates on line

Events: dates and information on the latest Centre events

Online assessment: how to register for e-assessments.

Linking to this document from web pages

We regularly update the name of documents on our website, therefore in order to prevent broken links we recommend that you link to our web page that the document resides upon, rather than linking to the document itself.

https://www.cityandguilds.com/delivering-our-qualifications/centre-development/centre-document-library

https://www.cityandguilds.com/-/media/cityandguilds-site/documents/what-we-offer/centres/centre-document-library/quality-assurance-documents/centre-manual-pdf.ashx?la=en&hash=91D96542BF935F478D48D444E1AD05E464FEBAAC

https://www.cityandguilds.com/-/media/ilm-website/sharepoint-documents/_published-documents/our-quality-assurance-requirements.ashx?la=en&hash=1CDACFEEE9A9B2429A222F44C1E85CED61380A56

https://www.cityandguilds.com/-/media/cityandguilds-site/documents/delivering-our-qualifications/access-arrangements-when-and-how-to-apply-pdf.ashx?la=en&hash=8358C1BB86F242D18E468D771939693867E9CBEE

https://www.cityandguilds.com/delivering-our-qualifications/centre-development/centre-document-library


Appendix 3 Mapping to standards

Skills for Health National Occupational Standards (NOS)

The tables below contain the mapping of the NOS to the Level 3 Extended Diploma in

Dental Nursing (4238-12)

Unit Title Links to NOS

Unit 301 Preparing for

professional practice in

dental nursing

SFHGEN Make Use of Supervision

SFHGEN22 Communicate effectively with individuals

SFHGEN1 Ensure personal fitness for work

Unit 302 The impact of

health and safety

legislation on working

practices in the dental

setting


SFHOH1 Prepare and maintain environments,

instruments, and equipment for clinical dental

procedures

SFHIPC7 Safely dispose of healthcare waste, including

sharps, to prevent the spread of infection

SFHIPC2 Perform hand hygiene to prevent the spread of

infection


Unit 303 Prevention and

control of infection in

the dental setting


SFHGEN2 Prepare and dress for work in healthcare

settings

SFHDEC3 Prepare, load and operate decontamination

equipment

SFHIPC1 Minimise the risk of spreading infection by

cleaning, disinfecting and maintaining environments

SFHIPC4 Minimise the risk of spreading infection by

cleaning, disinfection and storing care equipment

SFHIPC5 Minimise the risk of exposure to blood and

body fluids while providing care


SFHIPC6 Use personal protective equipment to prevent

the spread of infection

SFHIPC7 Safely dispose of healthcare waste, including

sharps, to prevent the spread of infection


97


infection

Unit 304 Dental and

regional anatomy, oral

health assessments and

treatment planning


SFHOH3 Provide chairside support during the

assessment of patients' oral health

Unit 305 Recognising

and supporting actions

during first aid and

medical emergencies


Unit 306 The safe use of

ionising radiation to

produce quality

radiographic images




procedures

SFHOH4 Contribute to the production of dental images




infection

Unit 307 Provide support

for the control of

periodontal disease and

caries, and the





procedures

SFHOH5 Provide chairside support during the prevention

and control of periodontal disease and caries and the





infection


during the stages of





procedures

SFHOH6 Provide chairside support during the provision

of fixed and removable prostheses


SFHOH09 Take a direct oral impression of an individual

to produce an analogue or cast




infection


during the stages of





procedures

SFHOH7 Provide chairside support during non-surgical

endodontic treatment




infection


during extractions and

minor oral surgery




procedures

SFHOH8 Provide chairside support during the extraction

of teeth and minor oral surgery




infection

Unit 311 Scientific and

practical information to

support the patient’s

oral and physical health


SFHOH2 Offer information and support to individuals

about dental services and the protection of oral health

SFHGEN32 Search information, evidence and

knowledge resources and communicate the results

SFHOH3 Provide chairside support during the

assessment of patients' oral health


99


infection


General Dental Council (GDC) Learning Outcomes

The tables below contain the mapping of the GDC Learning Outcomes to the Level 3

Extended Diploma in Dental Nursing (4238-12)

The unit references to each outcome in this document are not exhaustive.

Overarching Outcomes

There are 7 overarching outcomes which should be demonstrated throughout education

and training. These form the key principles of effective and professional practice, running

through all the domains (Clinical, Communication, Professionalism, Management and

Leadership), and are the same for all registrant categories.

GDC Outcomes Unit references

Practise safely and effectively, making the

high quality long term care of patients the

first concern

Units 301-310

Recognise the role and responsibility of being

a registrant and demonstrate professionalism

throughout education, training and practice

in accordance with GDC guidance

Units 301, 305

Demonstrate effective clinical decision

making

Unit 311

Describe the principles of good research,

how to access research and interpret it for

use as part of an evidence based approach

to practice

Units 301, 303, 311

Apply an evidence-based approach to

learning, practice, clinical judgment and

decision making and utilise critical thinking

and problem solving skills

Units 301, 303, 305, 311

Accurately assess own capabilities and

limitations, demonstrating reflective practice,

in the interest of high quality patient care and

act within these boundaries

Units 301, 305

Recognise the importance of lifelong learning

and apply it to practice

Units 301, 305

CLINICAL

1. Individual patient care

1.1 Foundations of practice

The Registrant will be able to apply to the practice of dental nurse principles that derive

from the biomedical, behavioural and materials sciences

The registrant will recognise and take account of the needs of different patient groups

including children, adults, older people, and those with special care requirements

throughout the patient care process


101

1.1.1 Describe the principles of an evidence-

based approach to learning, clinical and

professional practice and decision making

Unit 301 LO6

Unit 304 LO2

1.1.2 Recognise the range of normal human

structures and functions with particular

reference to oral disease and treatment

Unit 303 LO1

Unit 304 LO1

Unit 305 LO1

1.1.3 Recognise abnormalities of the oral

cavity and the rest of the patient and raise

concerns where appropriate

Unit 304 LO1, LO2

Unit 307 LO1, LO2

1.1.4 Explain the aetiology and pathogenesis

of caries and periodontal disease

Unit 307 LO1

Unit 311 LO2

1.1.5 Describe relevant dental and oral

anatomy and their application to patient

management

Unit 304 LO1

Unit 311 LO2, LO3, LO4

1.1.6 Describe relevant and appropriate

physiology and its application to patient

management

Unit 305 LO1

1.1.7 Explain the potential routes of

transmission of infectious agents in dental

practice, mechanisms for the prevention of

infection, the scientific principles of

decontamination and disinfection and their

relevance to health and safety

Unit 303 LO1, LO2

1.1.8 Describe commonly used dental

biomaterials and their application

Unit 308 LO1

1.1.9 Describe psychological and sociological

aspects of health, illness, behaviour change

and disease

Unit 311 LO3

1.2 Contribution to patient assessment

1.2.1 Explain the need for and record an

accurate and contemporaneous patient

history

Unit 304 LO2

1.2.2 Accurately describe and record and

oral health assessment

Unit 304 LO4

1.2.3 Accurately record dental charting as

carried out by other appropriate registrants

Unit 304 LO4, LO5

1.2.4 Recognise the significance of changes

in the patient’s reported oral health status

and take appropriate action

Unit 304 LO2

1.2.5 Prepare records, images, equipment

and materials for clinical assessment

Unit 306 LO5

Unit 307 LO3, LO4

Unit 308 LO2, LO4

Unit 309 LO2


Unit 310 LO2

Unit 311 LO1, LO2, LO3, LO4, LO5,

1.2.6 Recognise and describe the varying

levels of patient anxiety, experience and

expectations in respect of dental care

Unit 301 LO3 LO5

1.2.7 Discuss the importance of each

component of the patient assessment

process

Unit 304 LO2

1.5 Responding to the treatment plan

1.5.1 Explain the principles of obtaining valid

patient consent

Unit 301 LO4

1.5.2 Discuss the role of the dental nurse and

other members of the dental team in the

treatment plan

Unit 301 LO4

1.7 Patient management

1.7.1 Treat all patients with equality, respect

and dignity

Unit 301 LO4

Unit 305 LO2

Unit 308 LO2, LO4

Unit 310 LO2

1.7.2 Explain the impact of medical and

psychological conditions in the patient

Unit 305 LO1

Unit 311 LO2, LO3

1.7.3 Monitor, support and reassure patients

through effective communication and

behavioural techniques

Unit 301 LO7

Unit 305 LO3, LO4, LO5, LO6

Unit 310 LO2

1.7.4 Advise patients on oral health

maintenance

Unit 308 LO1, LO3

Unit 310 LO3

Unit 311 LO4, LO5

1.7.5 Recognise the need for and make

arrangements for follow-up care as

prescribed by the operator

Unit 311 LO4, LO5

1.7.6 Describe the role of the dental nurse

and other members of the dental team in the

patient management process


1.8 Patient and public safety

1.8.1 Use the working and clinical

environment in a safe and efficient manner

Unit 302 LO4

Unit 303 LO6, LO7

Unit 306 LO5, LO6

Unit 307 LO3, LO4



103

Unit 310 LO2, LO3

1.8.2 Perform effective decontamination and

infection control procedures

Unit 303 LO3, LO4, LO5, LO6, LO7

Unit 306 LO5

Unit 308, LO6

1.8.3 Comply with current best practice

guidelines

Unit 301 LO3


Unit 303 LO1, LO2, LO3, LO4, LO5, LO6, LO7

Unit 306 LO5, LO6

Unit 307 LO3, LO4

Unit 308, LO2, LO4, LO6

Unit 310 LO2, LO3

1.8.4 Recognise and manage medical

emergencies

Unit 305 LO1, LO2, LO3, LO4, LO5, LO6

1.8.5 Explain the importance of

contemporaneous, complete and accurate

patient records in accordance with legal

requirements and best practice

Unit 301 LO5

Unit 304 LO2

1.8.6 Recognise the signs of abuse or neglect

and describe local and national systems and

raise concerns where appropriate

Unit 301 LO4

1.9 Treatment of acute oral conditions

1.9.1 Recognise and manage patients with

acute oral conditions ensuring involvement of

appropriate dental team members

Unit 309 LO1

Unit 310 LO1


1.10 Health promotion and disease prevention

1.10.1 Describe the principles of preventive

care

Unit 309 LO1

Unit 310 LO1


1.10.2 Provide patients with accurate and

effective preventive information in a manner

which encourages self-care and motivation


1.10.3 Discuss the health risks of diet, drugs

and substance misuse, and substances such

as tobacco, alcohol and drugs on oral and

general health

Unit 311 LO3, LO4

1.11 Contributing to treatment

1.11.1 Prepare and maintain the clinical

environment including the instruments and

equipment

Unit 303 LO6, LO7

Unit 307 LO3, LO4


Unit 309 LO2


Unit 310 LO2, LO3

1.11.2 Provide chairside support to the

operator during treatment

Unit 307 LO3, LO4


Unit 309 LO2

Unit 310 LO2

1.11.3 Prepare, mix and handle dental

materials

Unit 307 LO4


Unit 309 LO2

Unit 310 LO2

1.11.4 Process and manage dental

radiographs

Unit 306 LO5, LO6

2 Population-based health and care

2.1 Describe the basic principles of a

population health approach including

demographic and social trends, UK and

international oral health trends, determinants

of health and inequalities in health, the ways

in which these are measured and current

patterns


2.2 Describe the dental and wider healthcare

systems dental professionals work within

including health policy and organisation,

delivery of healthcare and equity

Unit 301 LO3

Unit 311 LO1

2.3 Describe and evaluate the role of health

promotion in terms of the changing

environment, community and individual

behaviours to deliver health gain

Unit 311 LO1

2.4 Describe evidence-based prevention and

apply appropriately


2.5 Describe the principles of planning oral

health care for communities to meet needs

and demands

Unit 311 LO1, LO4

COMMUNICATION

The Registrant must recognise the importance of appropriate communication in

healthcare at all times and through all media

3 Patients, their representatives and the public

3.1 Communicate effectively and sensitively

with and about patients, their representatives

and the general public

Unit 301 LO5, LO7

Unit 309 LO2

Unit 310 LO3

Unit 311 LO5


to provide reassurance and information on

Unit 301 LO5, LO7

Unit 310 LO1, LO3

Unit 311 LO5


105

oral hygiene to patients and their

representatives

3.3 Explain the purpose and process of

informed consent

Unit 301 LO4

4 Team and the wider healthcare environment

4.1 Communicate effectively with colleagues

from dental and other healthcare professions

in relation to the direct care of individual

patients, including oral health promotion

Unit 301 LO5, LO7

Unit 304 LO4, LO5

Unit 306 LO5

Unit 310 LO2

4.2 Explain the role of appraisal, training and

review of colleagues, giving and receiving

effective feedback

Unit 301 LO2

4.3 Give and receive feedback effectively to

and from other members of the team

Unit 301 LO1

5 Generic communication skills


by spoken, written and electronic methods

and maintain and develop these skills


Unit 304 LO4, LO5

Unit 307 LO3, LO4

Unit 310 LO2

Unit 311 LO5

5.2 Explain the importance of and maintain

contemporaneous, complete and accurate

patient records in accordance with legal

requirements and best practice

Unit 302 LO5

Unit 304 LO2

Unit 311 LO5

5.3 Recognise the use of a range of

communication methods and technologies

and their appropriate application in support

of clinical practice*

Unit 301 LO5, LO7

Unit 304 LO4, LO5

Unit 311 LO5

5.4 Recognise and act within the principles of

information governance

Unit 301 LO4

Unit 304 LO2

Unit 306 LO6

PROFESSIONALISM

6 Patients and the public

6.1 Put patients’ interests first and act to

protect them


Unit 302 LO2, LO4



Unit 309 LO2

Unit 310 LO2 LO3


6.2 Be honest and act with integrity Unit 301 LO2, LO4



Unit 309 LO2

Unit 310 LO2, LO3

6.3 Respect patients’ dignity and choices Unit 301 LO3, LO4, LO5, LO7



Unit 309 LO2

Unit 310 LO2, LO3

6.4 Protect the confidentiality of all personal

information

Unit 301 LO4, LO5

Unit 304 LO4

Unit 306 LO6

6.5 Recognise and respect the patient’s

perspective and expectations of dental care

and the role of the dental team taking into

account current equality and diversity

legislation, noting that this may differ in

England, Scotland, Wales and Northern

Ireland

Unit 301 LO3, LO4

Unit 310 LO3

7 Ethical and legal

7.1 Be familiar with and act within the GDC’s

standards and within other professionally

relevant laws, ethical guidance and systems

Unit 301 LO3

Unit 302 LO1, LO3

Unit 306 LO1, LO4

7.2 Recognise and act upon the legal and

ethical responsibilities involved in protecting

and promoting the health of individual

patients

Unit 301 LO3, LO5 LO7

Unit 302 LO3

7.3 Act without discrimination and show

respect for patients, colleagues and peers

and the general public




Unit 309 LO2

Unit 310 LO3

7.4 Recognise the importance of candour

and effective communication with patients

when things go wrong, knowing how and

where to report any patient safety issues

which arise


7.5 Take responsibility for and act to raise

concerns about your own of others’ health,

behaviour or professional performance as

described in Standards for the Dental Team,

Principle 8 Raise concerns if patients are at

risk

Unit 301 LO3

Unit 302 LO2, LO3


Unit 309 LO1

8 Teamwork


107

8.1 Describe and respect the roles of dental

and other healthcare professionals in the

context of learning and working in a dental

and wider healthcare team

Unit 301 LO3

8.2 Ensure that any team you are involved in

works together to provide appropriate dental

care for patients

Unit 302 LO4

Unit 304 LO4, LO5


Unit 306 LO5


Unit 309 LO2

Unit 310 LO2, LO3

8.3 Explain the contribution that team

members and effective team working makes

to the delivery of safe and effective high

quality care

Unit 301 LO5

9 Development of self and others

9.1 Recognise and demonstrate own

professional responsibility in the development

of self and the rest of the team

Unit 301, LO1, LO2

9.2 Utilise the provision and receipt of

effective feedback in the professional

development of self and others

Unit 301, LO1, LO2

9.3 Develop and maintain professional

knowledge and competence and

demonstrate commitment to lifelong learning

Unit 301, LO1, LO2

9.4 Recognise the impact of new techniques

and technologies in clinical practice

Unit 301, LO1, LO2

Unit 305 LO1

9.5 Accurately assess own capabilities and

limitations in the interest of high quality

patient care and seek advice from

supervisors or colleagues where appropriate

Unit 301, LO1, LO2

Unit 305 LO2, LO3

9.6 Describe and demonstrate the attributes

of professional attitudes and behaviour in all

environments and media


Unit 311 LO5

MANAGEMENT AND LEADERSHIP

10 Managing self

10.1 Put patients’ interests first and act to

protect them

Unit 302 LO4

Unit 306 LO4


Unit 309 LO2

Unit 310 LO2

Unit 311 LO5

10.2 Effectively manage own time and

resources


Unit 309 LO3

Unit 310 LO3


Unit 311 LO5

10.3 Recognise the impact of personal

behaviour and manage this professionally

Unit 301 LO2

Unit 302 LO2, LO3

10.4 When appropriate act as an advocate

for patient needs

Unit 301 LO7

10.5 Take responsibility for personal

development planning, recording of

evidence and reflective practice

Unit 301 LO1, LO2

10.6 Ensure that all aspects of practice

comply with legal and regulatory

requirements


Unit 302 LO4

Unit 303 Lo1, LO2, LO3, LO4, LO5, LO6 LO7

Unit 306 LO1, LO4


Unit 309 LO2

Unit 310 LO3

10.7 Demonstrate appropriate continuous

improvement activities

Unit 301 LO1 LO2


11 Working with others

11.1 Take a patient-centred approach to

working with the dental and wider

healthcare team

Unit 301 LO7


Unit 309 LO2

Unit 310 LO2, LO3

Unit 311 LO5

11.2 Recognise and respect own and others’

contribution to the dental and wider

healthcare team and demonstrate effective

team working

Unit 301 LO3

Unit 304 LO4

Unit 306 LO5, LO6

Unit 309 LO2

Unit 310 LO2, LO3

11.3 Recognise and comply with the team

working requirements in the Scope of

Practice and Standards documents

Unit 301 LO3

Unit 304 LO4

11.4 Describe the impact of Direct Access on

each registrant group’s scope of practice

and its effect on dental team working

Unit 301 LO3

11.5 Recognise, take responsibility for and act

to raise concerns about own or others’

health, behaviour or professional

performance as described in The Principles of

Raising Concerns

Unit 301 LO3

Unit 302 LO2

12 Managing the clinical and working environment


109

12.1 Recognise and comply with systems and

processes to support safe patient care



Unit 306, LO5, LO6

Unit 307 LO3, LO4

Unit 309 LO2


12.2 Recognise the need for effective

recorded maintenance and testing of

equipment and requirements for appropriate

storage, handling and use of materials


Unit 306 LO5

12.3 Recognise and demonstrate the

procedures for handling of complaints as

described in Standards for the Dental Team,

Principle 5

Unit 301 LO6

12.4 Describe the legal, financial and ethical

issues associated with managing a dental

practice


Unit 302 LO2, LO3


12.5 Recognise and comply with national

and local clinical governance and health

and safety requirements






Apprenticeship Standard ST0113 – Knowledge, Skills and Behaviours (KSB’s)

The tables below contain the mapping of the Apprenticeship Standard ST0113

Knowledge, Skills and Behaviours (KSB’s) to the Level 3 Extended Diploma in Dental

Nursing (4238-12)

Unit Knowledge, Skills and Behaviours (KSB’s)

reference

301 K1, K2, K3, K5, K6, K10, K12, K13, K14, K25, K26,

K35, K36, K37, K40

S1, S2, S3, S4, S5, S8, S23, S24, S25, S26, S27

B1, B2

302 K1, K2, K3, K16, K17, K24, K39

S1, S2, S3, S4, S12

B1, B2

303 K1, K2, K3, K4, K9, K18, K19, K20, K21, K24, K30,

K38, K39

S1, S2, S3, S4, S5, S12, S14, S15

B1, B2

304 K1, K2, K3, K7, K13, K14, K15, K26

S1, S2, S4, S5, S6, S7, S8, S9, S10, S11, S12, S13, S17,

S28

B1, B2

305 K1, K3, K8. K9, K12, K14, K31, K32, K33, K34

S9, S21, S22, S24, S28


B1, B2

306 K1, K2, K3, K4, K9, K15, K27, K28, K29, K38, K39

S1, S2, S3, S4, S5, S6, S7, S8, S10, S11, S12, S13, S14,

S17, S18, S19, S27, S28

B1, B2

307 K1, K3, K12, K15, K22, K23,

S1, S2, S3, S4, S5, S6, S7, S8, S10, S11, S12, S13, S16,

S28

B1, B2

308 K1, K3, K12, K15, K22, K23, K25

S1, S2, S3, S4, S5, S6, S7, S8, S10, S11, S12, S13, S16,

S17, S28

B1, B2

309 K1, K3, K12, K15, K22, K23, K25

S1, S2, S3, S4, S5, S6, S7, S8, S10, S11, S12, S13, S16,

S28

B1, B2

310 K1, K3, K12, K15, K22, K23 K25

S1, S2, S3, S4, S4, S5, S6, S7, S8, S9 S10, S11, S12,

S13, S16, S28

B1, B2

311 K1, K2, K3, K4, K5, K7, K11, K12, K30, K40

S1, S2, S3, S4, S5, S7, S8, S9, S12, S20,

B1, B2


111

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Documents

City & Guilds Level 3 Extended Diploma in Dental Nursing